Individual
NADA JEAN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11000 LAKE CITY WAY NE STE 200, SEATTLE, WA 98125-6748
(206) 545-2349
Mailing address
11000 LAKE CITY WAY NE STE 200, SEATTLE, WA 98125-6748
(206) 545-2349
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN00071024
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN00071024
REGISTERED NURSE LICENSE
WA
Enumeration date
02/20/2019
Last updated
02/20/2019
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