Individual
BRUCE ALLEN WYLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1660 S. COLUMBIAN WAY, VA PUGET SOUND HEALTH CARE SYSTEM, SEATTLE, WA 98108-1597
(206) 764-2051
Mailing address
1660 S. COLUMBIAN WAY, VA PUGET SOUND HEALTH CARE SYSTEM, SEATTLE, WA 98108-1597
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60027401
WA
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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