Individual
MS. LYNNE ANGELA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNRN AGPCNP-BC
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3000
Mailing address
4258 S 173RD ST, SEATAC, WA 98188-3635
(206) 715-3089
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60334577
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114366986
—
WA
Enumeration date
06/14/2013
Last updated
06/27/2020
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