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Individual

MON TRISTAN ATANACIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
(425) 502-3589
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
(425) 502-3589

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60825078
WA
363LF0000X
Family Nurse Practitioner
F06162596
CA

Other

Enumeration date
10/11/2016
Last updated
03/31/2021
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