Individual
BRETT LEE WADSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
JD, MSN, ARNP, PMHNP
Contact information
Practice address
6520 226TH PL SE STE 203, ISSAQUAH, WA 98027-8969
(425) 222-1000
(425) 651-2973
Mailing address
6520 226TH PL SE STE 203, ISSAQUAH, WA 98027-8969
(425) 222-1000
(425) 651-2973
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP 60720812
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP9706
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13926671
—
WA
Enumeration date
09/01/2016
Last updated
08/02/2019
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