Individual
CYDNE J MARCKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 864-8954
Mailing address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 864-8954
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP00005497
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0170567
L&I
WA
01
—
7801151
AETNA PROVIDER ID
WA
01
—
8934626
L&I CVC
WA
05
—
9628025
—
WA
01
—
9838MA
REGENCE RIDER
WA
01
—
P00120589
MEDICARE RAILROAD
WA
Enumeration date
10/31/2006
Last updated
07/09/2007
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