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Individual

NANCY C LOCKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
16233 SYLVESTER RD SW, SUITE 230, BURIEN, WA 98166-3045
(206) 242-7822
(206) 244-2133
Mailing address
16233 SYLVESTER RD SW, SUITE 230, BURIEN, WA 98166-3045
(206) 242-7822
(206) 244-2133

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
RN00075156
WA
363L00000X
Nurse Practitioner
Primary
AP30000801
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9627357
WA
Enumeration date
01/19/2007
Last updated
01/15/2015
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