Individual
JANA MICHELLE WIDMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
2208 NW MARKET ST STE 520, SEATTLE, WA 98107-4098
(206) 789-9054
(206) 781-9323
Mailing address
2208 NW MARKET ST STE 520, SEATTLE, WA 98107-4098
(206) 789-9054
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN61079377
WA
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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