Individual
DYLAN MICHAEL WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN
Contact information
Practice address
104 S FREYA ST, GREEN BLDG, STE 212, SPOKANE, WA 99202
(509) 557-0450
(509) 757-8981
Mailing address
2910 E 57TH AVE SUITE 5 #126, SPOKANE, WA 99223-1510
(509) 557-0450
(509) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60765414
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61421441
WA
Other
Enumeration date
07/23/2019
Last updated
08/14/2023
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