Individual
MS. LORETTA DIANE BEZOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1791 NE 1ST AVE, OAK HARBOR, WA 98277-4301
(360) 678-7940
(360) 679-7347
Mailing address
PO BOX 5000, COUPEVILLE, WA 98239-5000
(360) 678-7940
(360) 679-7347
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
00102711
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00102711
REGISTERED NURSE
WA
Enumeration date
06/09/2017
Last updated
06/16/2018
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