Individual
MRS. KELSEY M. WULF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
4011 TALBOT RD S STE 300, RENTON, WA 98055-5791
(425) 656-5060
(425) 656-5047
Mailing address
805 MADISON ST STE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP125640
TX
363LF0000X
Family Nurse Practitioner
Primary
AP60751019
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2088710
—
WA
05
—
353299601
—
TX
01
—
379775
LABOR AND INDUSTRIES
WA
Enumeration date
06/15/2012
Last updated
11/02/2017
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