NPI: 1407548910 · TUMWATER, WA 98501 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 05/23/2023
| Authorized Official | WILCOX, DIANA (PARTNER) |
| NPI Enumeration Date | 05/23/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 58 | $296.70 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 96127 | 58 | 25 | $296.70 |