Evergreen Mental Health LLC
NPI #1740715622 in Liberty Lake, Washington
Provider Information
- NPI Number
- 1740715622
- Entity Type
- Organization
- Organization Name
- Evergreen Mental Health LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Apr 27, 2017
- Last Updated
- Mar 19, 2019
Practice Location
- Address
- 23403 E MISSION AVE STE 200I
- City
- Liberty Lake
- State
- Washington
- ZIP Code
- 99019-7575
- Phone
- (509) 992-4224
Authorized Official
- Name
- REGINA DAVIS, ARNP
- Title
- OWNER
- Phone
- (509) 992-4224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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