Individual
MARISSA VATERNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11530 12TH AVE NE, SEATTLE, WA 98125-6310
(206) 252-4610
Mailing address
1427 11TH AVE, SEATTLE, WA 98122-4893
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61075050
WA
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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