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Individual

MICHAELENE W DEELSTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1536 N 115TH ST STE 200, SEATTLE, WA 98133-8400
(206) 363-1004
(206) 363-3548
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(206) 363-1004

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30003298
WA

Other

Enumeration date
10/25/2006
Last updated
02/06/2009
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