Individual
MRS. PATRICIA ANNE VAN VACTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
12423 TOTEM LAKE BLVD NE, KIRKLAND, WA 98034-7504
(425) 406-5458
Mailing address
17550 156TH PL NE, WOODINVILLE, WA 98072-9214
(206) 818-9770
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP.AP.61148478-NP
WA
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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