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Individual

THERESE DEMPSEY VAFAEEZADEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4800 SAND POINT WAY NE, M/S M2-8, SEATTLE, WA 98105-3901
(206) 987-1042
Mailing address
12604 NE 112TH PL, KIRKLAND, WA 98033-4110
(425) 822-7039

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006824
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4304911
MT
05
807092600
ID
05
9643719
WA
05
NP366WA
AK
Enumeration date
07/11/2006
Last updated
01/04/2019
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