Individual
MIRELA ELENA GOETZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4011 TALBOT RD S STE 500, RENTON, WA 98055-5782
(425) 690-3482
(425) 690-9082
Mailing address
3600 LIND AVE SW STE 100, RENTON, WA 98057-4970
(425) 228-3440
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP0764780
WA
363LF0000X
Family Nurse Practitioner
778539
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2086738
—
WA
05
—
345788901
—
TX
Enumeration date
10/22/2012
Last updated
03/17/2018
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