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Individual

HANNAH COLLIER GOETTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
19116 33RD AVE W, LYNNWOOD, WA 98036-4706
(425) 712-7900
(425) 712-7905
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
(425) 712-7900
(425) 712-7905

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60756946
WA
363L00000X
Nurse Practitioner
Primary
AP61203370
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003582362
WA
Enumeration date
08/18/2021
Last updated
11/06/2024
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