Individual
MARY C. WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7416 212TH ST SW, EDMONDS, WA 98026-7602
(425) 245-5800
Mailing address
1650 S TOPAZ WAY, MERIDIAN, ID 83642-4474
(208) 605-7070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60218656
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0286559
LABOR AND INDUSTRIES- WASHINGTON STATE
WA
Enumeration date
07/06/2007
Last updated
11/09/2023
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