Individual
MS. CARLENE D OYETUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 606-1024
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30006807
WA
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30006807
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023053642
—
WA
Enumeration date
06/18/2006
Last updated
04/20/2018
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