Individual
MARILYN TRUDEAU HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1100 S 2ND ST, MOUNT VERNON, WA 98273-4209
(360) 419-3500
(360) 419-3515
Mailing address
1100 S 2ND ST, MOUNT VERNON, WA 98273-4209
(360) 419-3500
(360) 419-3515
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
AP30004170
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9616632
—
WA
Enumeration date
06/29/2006
Last updated
07/08/2007
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