Individual
MIKKA MARUN R UEHARA
Active
Individual
MIKKA MARUN R UEHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN60655148
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP61318838
WA
363LG0600X
Gerontology Nurse Practitioner
AP61318838
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700409430
—
WA
Enumeration date
05/28/2020
Last updated
09/20/2022
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