Doctor Name: | VANESSA BUDY |
NPI Number: | 1255796579 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | MA60586943 |
Business Practice Address: | 11430 51st Ave Nw Suite 101a Gig Harbor, WA - 983327897 |
Business Phone Number: | 2538576500 |
Business Fax Number: | 2538572225 |
Mailing Address: | 11430 51st Ave Nw, Suite 101a GIG HARBOR |
State: | WA |
Postal Code: | 983327897 |
Phone Number: | 2538576500 |
Fax Number: | 2538572225 |
NPI Enumeration Date: | 12/31/2015 |
NPI Last Update Date: | 03/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA60586943 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |