Individual
MS. MARYKAY MALLINAK LIVINGSTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5300 TALLMAN AVE NW, SEATTLE, WA 98107-3932
(206) 782-2700
Mailing address
15103 102ND AVE NE, BOTHELL, WA 98011-7246
(425) 488-1494
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30003748
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9622952
—
WA
Enumeration date
11/01/2005
Last updated
07/08/2007
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