Individual
PHILLIP K. MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-0856
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00108880
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30007078
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0271246
L&I
WA
05
—
1093734618
—
WA
Enumeration date
07/18/2006
Last updated
01/06/2014
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