Individual
ELISABETH B GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
27500 168TH PL SE, COVINGTON, WA 98042-5563
(425) 690-3430
(425) 690-9430
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00161090
WA
363L00000X
Nurse Practitioner
Primary
AP30007549
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002411
—
WA
01
—
G8891523
MEDICARE - VALLEY MEDICAL GROUP
WA
Enumeration date
05/02/2007
Last updated
03/05/2020
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