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Individual

MIKKA MARUN R UEHARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700

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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