Organization Name: | ISLAND PSYCHIATRIC SERVICES |
NPI Number: | 1861687188 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARLA L. WESTON (PSYCHIATRIC NURSE PRACTITIONER) |
Mailing Address: | 374 North Beach Road Eastsound |
State: | WA US |
Postal Code: | 98245 |
Phone Number: | 3603763558 |
Fax Number: | 3603763558 |
NPI Enumeration Date: | 09/10/2007 |
NPI Last Update Date: | 09/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | AP30005991 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |