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Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, CNM

Contact information

Practice address
1231 116TH AVE NE, SUITE 950, BELLEVUE, WA 98004-3804
(425) 454-3366
(425) 943-3247
Mailing address
1231 116TH AVE NE, SUITE 950, BELLEVUE, WA 98004-3804
(425) 454-3366
(425) 943-3247

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60191812
WA
367A00000X
Advanced Practice Midwife
Primary
AP60191812
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518274356
WA
Enumeration date
08/31/2010
Last updated
11/13/2015
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