Individual provider · Type 1 NPI
George H. Glade Sr., ARNP
Psychiatric/Mental Health Nurse Practitioner · Seattle, WA
NPI number
1407808074
Active
Practice location
1800 Westlake Ave N Ste 303
Seattle, WA 98109-2782
Fax (206) 938-1173
Mailing address
1800 Westlake Ave N. #303
Seattle, WA 98109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN00114137 (WA) |
| Nurse Practitioner | 363L00000X | AP30004465 (WA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP30004465 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1407808074
George H. Glade Sr., ARNP's National Provider Identifier is 1407808074, issued on May 16, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Seattle, WA. The record was last updated on Jun 6, 2013.