Individual
JOAN M AMISTOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
14410 SE PETROVITSKY RD, STE 104, RENTON, WA 98058-8900
(425) 656-4242
(425) 254-0912
Mailing address
PO BOX 34876, SEATTLE, WA 98124-1876
(425) 656-5412
(425) 656-4096
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60347636
WA
363LF0000X
Family Nurse Practitioner
AP60347636
WA
Other
Enumeration date
07/23/2013
Last updated
12/05/2014
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