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Individual

MS. MIRIAM ABIGAIL JAFFEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
12303 NE 130TH LN, SUITE 225, KIRKLAND, WA 98034-3099
(425) 899-3890
(425) 899-3889
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3292
(425) 899-3269

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006872
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1230JA
REGENCE BLUE SHIELD
WA
01
213491
LABOR & INDUSTRIES
WA
01
7172808
AETNA
WA
05
9644691
WA
Enumeration date
09/16/2006
Last updated
05/19/2021
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