Organization
BREATHE PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY JEAN BAIN RN, MSN, CPNP (PEDIATRIC NURSE PRACTITIONER)
(425) 651-4044
Entity
Organization
Contact information
Practice address
175 1ST PL NW, SUITE A, ISSAQUAH, WA 98027-2744
(425) 651-4044
(425) 651-4033
Mailing address
175 1ST PL NW, SUITE A, ISSAQUAH, WA 98027-2744
(425) 651-4044
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60455433
WA
Other
Enumeration date
01/18/2015
Last updated
01/18/2015
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