Organization
CHRYSALIS PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE ELIZABETH KOOMEN ARNP (OWNER)
(415) 847-4643
Entity
Organization
Contact information
Practice address
1001 WATER ST # 1009, PORT TOWNSEND, WA 98368-6705
(206) 279-4547
Mailing address
PO BOX 1093, PORT TOWNSEND, WA 98368-1093
(206) 279-4547
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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