Organization
PEACEFUL MIND PSYCHIATRIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVUOL NGO NURSE PRACTITIONER (OWNER)
(425) 224-6810
Entity
Organization
Contact information
Practice address
13110 NE 177TH PL # 1062, WOODINVILLE, WA 98072-5740
(425) 224-6810
(425) 610-6875
Mailing address
13110 NE 177TH PL # 1062, WOODINVILLE, WA 98072-5740
(425) 224-6810
(425) 610-6875
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225465925
NPI TYPE 1
WA
Enumeration date
04/29/2021
Last updated
05/12/2021
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