Individual
BRANDY LEE WILTERMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AP
Contact information
Practice address
3500 188TH ST SW STE 250, LYNNWOOD, WA 98037-4757
(425) 606-0022
Mailing address
3500 188TH ST SW STE 250, LYNNWOOD, WA 98037-4757
(425) 606-0022
(425) 616-1530
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60226772
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60226772
MEDICAL LICENSE
WA
Enumeration date
08/05/2009
Last updated
09/28/2025
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