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Individual

MARILYN K DEGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, FNP-BC, OTRL

Contact information

Practice address
15 SW EVERETT MALL WAY STE G, EVERETT, WA 98204-2715
(425) 355-5222
(425) 355-5231
Mailing address
21401 72ND AVE W, EDMONDS, WA 98026-7702
(425) 774-2636
(425) 774-2688

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00119576
WA
225X00000X
Occupational Therapist
OT00000745
WA
363L00000X
Nurse Practitioner
Primary
IP60167718
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AB37601
MEDICRE ID NUMBER
WA
Enumeration date
08/19/2006
Last updated
12/17/2019
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