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Individual
NANCY C LOCKETT
Active
Individual
NANCY C LOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
RN00075156
WA
363L00000X
Nurse Practitioner
Primary
AP30000801
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9627357
—
WA
Enumeration date
01/19/2007
Last updated
01/15/2015
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