Individual
RUSSEL VAN GELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3915 TALBOT RD S STE 200, RENTON, WA 98055-5738
(425) 690-3400
(425) 690-0600
Mailing address
3915 TALBOT RD S STE 200, RENTON, WA 98055-5738
(425) 690-3400
(425) 690-0600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61261029
WA
Other
Enumeration date
01/26/2022
Last updated
04/25/2022
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