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Individual

AISHWARYA ACHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1336 S 336TH ST, FEDERAL WAY, WA 98003-6348
(253) 833-7444
Mailing address
1336 S 336TH ST, FEDERAL WAY, WA 98003-6348

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60787241
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61080093
WA

Other

Enumeration date
11/24/2019
Last updated
11/06/2020
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