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Individual Provider (NPI-1) Active

Nurse Practitioner, Pediatrics

Provider Information

NPI Number
1417561861
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
2901 174TH ST NE, MARYSVILLE, WA, 982714743
Phone
(206) 860-5414

Specialties & Taxonomies

Nurse Practitioner, Pediatrics Primary License: WA #AP61445072
Registered Nurse License: WA #RN60519580

All Addresses

MAILING

7600 EVERGREEN WAY

EVERETT, WA, 982036421

(206) 860-5414

LOCATION

2901 174TH ST NE

MARYSVILLE, WA, 982714743

(206) 860-5414