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Individual

MICHELLE L. MARINEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60817171
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60817171
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000246397
HMSA BILLING NUMBER
HI
05
1508959149
WA
05
55289501
HI
Enumeration date
10/02/2006
Last updated
06/26/2018
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