Individual
AMY MARIE ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 575-8000
Mailing address
1114 REO DR, ZILLAH, WA 98953-9052
(509) 941-9764
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN00163671
WA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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