Individual
AIRRA HAROLDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 COLE ST, ENUMCLAW, WA 98022-2638
(360) 761-1285
Mailing address
16723 SE 251ST PL, COVINGTON, WA 98042-5230
(253) 239-3191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60017434
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61493389
WA
Other
Enumeration date
10/20/2021
Last updated
11/21/2023
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