Individual
DEBBIE VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 N 205TH ST, SHORELINE, WA 98133-3215
(206) 542-5656
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60173606
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518226570
—
WA
Enumeration date
05/11/2012
Last updated
02/11/2014
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