Individual
MS. MARY S. EKLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3240 14TH AVE NW, OLYMPIA, WA 98502-8509
(360) 866-7990
Mailing address
PO BOX 11789, OLYMPIA, WA 98508-1789
(360) 866-7990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30003260
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9610544
—
WA
Enumeration date
10/14/2005
Last updated
07/12/2011
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