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Individual

ANNE MARIE GRESHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
A.R.N.P.

Contact information

Practice address
1286 MOUNT BAKER RD, SUITE B208, EASTSOUND, WA 98245-8931
(360) 376-6181
(360) 376-6182
Mailing address
PO BOX 363, EASTSOUND, WA 98245-0363
(360) 376-6181
(360) 376-6182

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN00055071
WA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
AP30006672
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0192477
LABOR AND INDUSTRIES
WA
01
41188600498245A002
TRICARE (TRIWEST)
WA
01
6004GR
REGENCE BLUE SHIELD
WA
01
725195
GROUP HEALTH
WA
Enumeration date
07/18/2006
Last updated
05/14/2008
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