Organization
NORTHWEST MOBILE MEDICINE LLC
Active
Organization
NORTHWEST MOBILE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNNE MARIE WIEGERT ARNP, GNP-BC (OWNER)
(206) 920-5583
Entity
Organization
Contact information
Practice address
1514 NOB HILL AVE N, SEATTLE, WA 98109-3141
(206) 920-5583
Mailing address
1514 NOB HILL AVE N, SEATTLE, WA 98109-3141
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP6013222
WA
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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