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Individual

SAMANTHA LYNN NUTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 257-6922
(206) 257-6828
Mailing address
3630 22ND AVE W APT 105, SEATTLE, WA 98199-2384
(206) 355-2970

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
247434
AZ
163W00000X
Registered Nurse
Primary
61105768
WA

Other

Enumeration date
09/19/2020
Last updated
09/19/2020
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