Individual
MICHAEL NYASANI KINGOINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2150 N 107TH ST STE 480, SEATTLE, WA 98133-9009
(866) 686-2504
Mailing address
20804 77TH ST E, BONNEY LAKE, WA 98391-8766
(425) 269-5016
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61512716
WA
Other
Enumeration date
01/02/2024
Last updated
08/07/2024
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