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Organization

PRIMARY CARE SEQUIM PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BRIDGETT BELL KRAFT MS, ARNP (PRESIDENT)
(360) 582-1200
Entity
Organization

Contact information

Practice address
520 N 5TH AVE, SEQUIM, WA 98382-3079
(360) 582-1200
(360) 582-1230
Mailing address
520 N 5TH AVE, SEQUIM, WA 98382-3079
(360) 582-1200
(360) 582-1230

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30005000
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1780625400
INDIVIDUAL NPI
WA
Enumeration date
08/15/2006
Last updated
12/06/2007
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