Organization · Type 2 NPI
Domain Psychiatry, PLLC
Psychiatric/Mental Health Nurse Practitioner · Seattle, WA
NPI number
1902779796
Active
Practice location
819 N 49th St Ste 302
Seattle, WA 98103-6577
Mailing address
PO Box 257, Pmb 11130
Olympia, WA 98507-0257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1902779796
Domain Psychiatry, PLLC's National Provider Identifier is 1902779796, issued on Sep 26, 2025. 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 Sep 26, 2025.