Individual
LINETTE N MAUYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17501 OAK ST, GRANITE FALLS, WA 98252-8998
(405) 532-0876
Mailing address
17501 OAK ST, GRANITE FALLS, WA 98252-8998
(405) 532-0876
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61214264
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MAUYALN190N5
DL
WA
Enumeration date
09/13/2021
Last updated
09/13/2021
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