Individual
KIRSTEN F NYGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 BROADWAY, STE 340, SEATTLE, WA 98122-5229
(206) 215-2520
(206) 386-3180
Mailing address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
(206) 326-2785
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1005127
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0299724
LABOR AND INDUSTRY
WA
Enumeration date
05/11/2007
Last updated
03/20/2022
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