Individual
MRS. PATRICE MARIE VAN DUINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, M.ED, PMHNP-BC
Contact information
Practice address
2722 COLBY AVE. STE #328, EVERETT, WA 98201-3557
(425) 740-3600
(425) 740-3601
Mailing address
2722 COLBY AVE STE 328, EVERETT, WA 98201-3531
(425) 740-3600
(425) 740-3601
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN00059378
WA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN00059378
WA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN00059378
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30007518
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11958223
CAQH
—
05
—
9659749
—
WA
01
—
AP30007518
WA DEPT. OF HEALTH
WA
01
—
RN00059378
WA DEPT. OF HEALTH
WA
Enumeration date
10/19/2006
Last updated
09/15/2021
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