Organization
EASTSIDE ANXIETY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY WAGNER ARNP, PMHNP-BC (OWNER)
(425) 968-5948
Entity
Organization
Contact information
Practice address
2105 112TH AVE NE STE 201, BELLEVUE, WA 98004-2945
(425) 968-5948
Mailing address
2105 112TH AVE NE STE 201, BELLEVUE, WA 98004-2945
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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