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Organization

WILLOW FIBROMYALGIA AND HYPERMOBILITY CLINIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MEDEA KARR ARNP (OWNER)
(206) 734-4981
Entity
Organization

Contact information

Practice address
4520 FAUNTLEROY WAY SW, SEATTLE, WA 98126-2740
(206) 734-4981
(888) 734-4981
Mailing address
4520 FAUNTLEROY WAY SW, SEATTLE, WA 98126-2740
(206) 734-4981
(888) 734-4981

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006987
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1487719597
INDIVIDUAL PROVIDER NPI FOR MEDEA KARR ARNP
05
9659145
WA
Enumeration date
11/11/2016
Last updated
11/11/2016
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