Individual
JANE MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
25959 COMMUNITY PLAZA WAY, SEDRO WOOLLEY, WA 98284-9721
(360) 854-7069
Mailing address
25944 COMMUNITY PLAZA WAY, SEDRO WOOLLEY, WA 98284-9721
(360) 854-7069
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
AP30000228
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9033MA
REGENCE BLUE SHIELD
WA
05
—
9600081
—
WA
Enumeration date
02/21/2007
Last updated
07/08/2007
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