Individual
DEVON RENIERS BANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4800 SAND POINT WAY NE, M/S W-9824, SEATTLE, WA 98105-3901
(206) 987-3963
Mailing address
7724 E GREEN LAKE DR N, SEATTLE, WA 98103-4967
(214) 456-5059
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
60301810
WA
Other
Enumeration date
08/20/2008
Last updated
09/18/2012
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