Individual
DR. EZINNE OBIOMA NDIBESHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
22000 MARINE VIEW DR S STE 200, DES MOINES, WA 98198-6233
(206) 592-5940
Mailing address
22000 MARINE VIEW DR S STE 200, DES MOINES, WA 98198-6233
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
1234
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
12334
WA
Other
Enumeration date
06/28/2024
Last updated
10/04/2024
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