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Individual

LOAN VAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2930 S MERIDIAN STE 200, PUYALLUP, WA 98373-1654
(253) 445-7600
Mailing address
2652 83RD AVENUE CT E, EDGEWOOD, WA 98371-5588
(808) 457-5441

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60985721
WA

Other

Enumeration date
07/21/2019
Last updated
02/13/2025
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