Individual
GWYNETH J RECUPERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00136725
WA
363L00000X
Nurse Practitioner
AP30006335
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30006335
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9636069
—
WA
Enumeration date
06/01/2006
Last updated
05/07/2019
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