Individual
ANDREA DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7210 40TH ST W STE 100, UNIVERSITY PLACE, WA 98466-4319
(253) 564-0170
(253) 207-4240
Mailing address
7210 40TH ST W STE 100, UNIVERSITY PLACE, WA 98466-4319
(253) 564-0170
(253) 207-4240
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00130896
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30006869
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0192629
L & I
WA
01
—
0192630
L & I
WA
05
—
1043000
—
WA
01
—
224918
L & I
WA
01
—
8939741
CRIME VICTIMS
WA
01
—
8939742
CRIME VICTIMS
WA
Enumeration date
11/03/2006
Last updated
03/16/2021
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