Individual
CARA ANN LUNDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
2901 BRIDGEPORT WAY W STE 404, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
(206) 244-3991
Mailing address
2901 BRIDGEPORT WAY W STE 404, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
(206) 244-3991
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP60898966
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP60898966
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2126007
—
WA
Enumeration date
11/09/2018
Last updated
12/07/2020
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