Individual
MS. TERESA LYNN BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3626 NE 45TH ST STE 300, SEATTLE, WA 98105-5653
(206) 526-2600
Mailing address
19124 SE 416TH ST, ENUMCLAW, WA 98022-9135
(360) 802-4848
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP30007233
WA
Other
Enumeration date
08/31/2006
Last updated
06/08/2016
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