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Individual

MAISA ANN ROUZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
550 17TH AVE FL 5, SEATTLE, WA 98122-5788
(206) 320-2800
(206) 320-2827
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60839931
WA
363L00000X
Nurse Practitioner
Primary
AP60915242
WA
363LA2100X
Acute Care Nurse Practitioner
AP60915242
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346703543
WA
Enumeration date
04/13/2019
Last updated
07/01/2019
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