Individual
JULIA VANDER VEGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1530 N 115TH ST, SUITE 102, SEATTLE, WA 98133-8421
(206) 368-6850
Mailing address
2619 RUCKER AVE, APT. 1, EVERETT, WA 98201-3454
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP60492401
WA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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