# NORTHWEST MOBILE MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093097438
- **Authorized official:** MS. LYNNE MARIE WIEGERT ARNP, GNP-BC (OWNER)
- **Authorized official phone:** (206) 920-5583

## Contact information

- **Practice address:** 1514 NOB HILL AVE N, SEATTLE, WA 98109-3141
- **Practice address phone:** (206) 920-5583
- **Mailing address:** 1514 NOB HILL AVE N, SEATTLE, WA 98109-3141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | AP6013222 | WA | Yes |

## Other

- **Enumeration date:** 09/12/2011
- **Last updated:** 09/12/2011