Individual provider · Type 1 NPI

Fonabei Ayongaba

Psychiatric/Mental Health Nurse Practitioner · Lacey, WA

NPI number 1104532944 Active

Practice location

605 Woodland Square Loop SE
Lacey, WA 98503-1045

Mailing address

325 W Gowe St
Kent, WA 98032-5892

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN61094794 (WA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP61475276 (WA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1104532944

Fonabei Ayongaba's National Provider Identifier is 1104532944, issued on Jan 25, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lacey, WA. The record was last updated on Sep 6, 2023.