Individual
FAITH MMBOROTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9530
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60325365
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024810
—
WA
Enumeration date
01/25/2013
Last updated
04/02/2025
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