Individual
MANAYE UTAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
3815 S OTHELLO ST, SEATTLE, WA 98118-3510
(206) 788-3500
Mailing address
310 JUNCTION BLVD, AUBURN, WA 98001-4458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61198988
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/13/2019
Last updated
08/02/2021
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