Individual
MARY C PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 228-5228
Mailing address
PO BOX 50150, BELLEVUE, WA 98015-0150
(425) 228-5228
(425) 228-5733
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30006253
WA
363LA2200X
Adult Health Nurse Practitioner
RN00127832
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9637513
—
WA
Enumeration date
01/29/2007
Last updated
01/17/2008
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