Individual
DR. NAOMI MATTERA NARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036144344
IL
207P00000X
Emergency Medicine Physician
Primary
OP61074435
WA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
OP61074435
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036144344
—
IL
05
—
1437589108
—
WI
Enumeration date
11/17/2013
Last updated
04/27/2021
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