Individual
LENA ISMAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10414 BEARDSLEE BLVD # 100, BOTHELL, WA 98011-3205
(425) 486-0658
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2320788
MA
363L00000X
Nurse Practitioner
Primary
AP61017092
WA
Other
Enumeration date
09/21/2018
Last updated
12/04/2020
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