Individual
CONNIE AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
406 SE 131ST AVE STE 104, VANCOUVER, WA 98683-4031
(877) 522-1275
Mailing address
200 NE MOTHER JOSEPH PL STE 330, VANCOUVER, WA 98664-3288
(360) 514-2990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
202105283NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
AP61185290
WA
Other
Enumeration date
06/09/2021
Last updated
11/13/2021
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