Individual
LAKEW ADNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22634 10TH AVE S, DES MOINES, WA 98198-6915
(206) 235-8112
(206) 653-7300
Mailing address
22634 10TH AVE S, DES MOINES, WA 98198-6915
(206) 235-8112
(206) 653-7300
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60480672
WA
Other
Enumeration date
09/19/2014
Last updated
04/11/2019
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