# VIOLA G MEDINA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679629661
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP30004058 | WA | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 04/10/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0039581 | LABOR AND INDUSTRIES \# | WA |
| 01 | — | 0359072 | LNI | WA |
| 01 | — | 500017809 | RAILROAD MC\# | WA |
| 01 | — | 7793ME | BLUE SHIELD \# | WA |
| 05 | — | 9619594 | — | WA |
| 01 | — | US2510511 | AETNA SPECIALIST PIN | WA |