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Individual

REBECCA MARIE BLAKEY FATTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4515 S OTHELLO ST, SEATTLE, WA 98118-3846
(360) 239-8019
Mailing address
325 9TH AVE, BOX # 359829, SEATTLE, WA 98104-2420
(206) 744-3851
(206) 744-3830

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
60303011
WA
363LA2100X
Acute Care Nurse Practitioner
F430646-1
NY

Other

Enumeration date
10/02/2012
Last updated
04/09/2024
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