Individual
MS. MARILYN COSTAS BORROMEO-WESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1830 BICKFORD AVE, SUITE 211, SNOHOMISH, WA 98290-1749
(360) 668-1820
(360) 668-1825
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30007479
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9650862
—
WA
01
—
P00653006
MEDICARE RAILROAD
—
Enumeration date
11/14/2006
Last updated
02/06/2015
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