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Individual

LINDA MARIE BOARDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
118 E 8TH ST, PORT ANGELES, WA 98362-6129
(360) 457-0431
Mailing address
1435 W 10TH ST, PORT ANGELES, WA 98363-5503
(360) 460-9890

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60158804
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
60764838
WA

Other

Enumeration date
05/30/2017
Last updated
07/06/2017
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