Organization
MENTAL BLISS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY W BLISS DNP, ARNP (MEMBER)
(206) 329-5255
Entity
Organization
Contact information
Practice address
818 12TH AVE, SEATTLE, WA 98122-4410
(206) 329-5255
(206) 641-3231
Mailing address
818 12TH AVE, SEATTLE, WA 98122-4410
(206) 329-5255
(206) 641-3231
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30007542
WA
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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