Individual
MARY-JO RENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1560 N 115TH ST STE 201, SEATTLE, WA 98133-8414
(206) 368-1244
(206) 368-1270
Mailing address
PO BOX 33450, SEATTLE, WA 98133-0450
(206) 368-1244
(206) 368-1270
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP30002251
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9629858
—
WA
01
—
P00135135
RAILROAD MEDICARE
WA
Enumeration date
06/16/2005
Last updated
09/08/2008
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