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Individual

LINDSAY BROOKE GAMBOA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
751 NE BLAKELY DR STE 2030, ISSAQUAH, WA 98029-6201
(425) 313-7080
(425) 313-7071
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60061353
WA
363L00000X
Nurse Practitioner
AP60060154
WA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP60060154
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1639314438
WA
Enumeration date
12/08/2008
Last updated
12/21/2020
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