Individual
THERESA MARIE SKURNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12800 BOTHELL EVERETT HWY, EVERETT, WA 98208-6642
(425) 316-5150
(425) 968-6357
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00093369
WA
363L00000X
Nurse Practitioner
Primary
AP30001944
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7083793
—
WA
05
—
9606377
—
WA
Enumeration date
09/27/2006
Last updated
12/29/2015
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