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Individual

RISA DENENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4905 108TH ST SW, LAKEWOOD, WA 98499-3724
(253) 581-3075
(253) 581-3178
Mailing address
PO BOX 98886, LAKEWOOD, WA 98496-8886
(253) 581-3075
(253) 581-3178

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60029600
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60030791
WA
363LF0000X
Family Nurse Practitioner
SPOO8438
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1306904990
WA
Enumeration date
12/05/2006
Last updated
11/23/2011
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