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Individual

VIRGINIA GERISE COWDEN-KRETZLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1044 11TH AVE, LONGVIEW, WA 98632-2506
(360) 575-8275
(360) 575-1948
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 575-8275
(360) 575-1948

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP30004319
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30004319
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9621673
WA
Enumeration date
01/23/2009
Last updated
09/16/2011
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