Individual
MARLA GUNDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14350 SE EASTGATE WAY, BELLEVUE, WA 98007-6458
(206) 205-3987
Mailing address
1821A 20TH AVE, SEATTLE, WA 98122-2809
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30003795
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9616319
—
WA
Enumeration date
11/29/2006
Last updated
07/09/2007
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