Individual
NAM VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18726 BOTHELL WAY NE, BOTHELL, WA 98011-1931
(206) 617-8518
Mailing address
18726 BOTHELL WAY NE, BOTHELL, WA 98011-1931
(206) 617-8518
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61439594
WA
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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