Individual
WENDY C. IMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
19200 N KELSEY ST, MONROE, WA 98272-1431
(360) 794-7994
(360) 805-4755
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30002555
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9611518
—
WA
Enumeration date
09/26/2006
Last updated
02/04/2015
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