Individual
LENA GAYRAUD OLIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(203) 859-8118
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(203) 859-8118
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20163762
PA
Other
Enumeration date
01/25/2017
Last updated
04/01/2020
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