Organization · Type 2 NPI
Evergreen Mental Health LLC
Psychiatric/Mental Health Nurse Practitioner · Liberty Lake, WA
NPI number
1740715622
Active
Practice location
23403 E Mission Ave Ste 200I
Liberty Lake, WA 99019-7575
Mailing address
PO Box 333
Liberty Lake, WA 99019-0333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP60654992 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Liberty Lake
About NPI 1740715622
Evergreen Mental Health LLC's National Provider Identifier is 1740715622, issued on Apr 27, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Liberty Lake, WA. The record was last updated on Mar 19, 2019.