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Individual

MS. MARYDINA KIRKBY

Active
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Individual

MS. MARYDINA KIRKBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00116530
WA
363L00000X
Nurse Practitioner
AP30005811
WA
363LF0000X
Family Nurse Practitioner
AP30005811
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0161864
L&I PIN
WA
01
16088U
REGENCE BLUE SHIELD PIN
WA
05
9633983
WA
Enumeration date
06/21/2006
Last updated
04/19/2016
About Stedi
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