Individual
HEATHER RENEE GRODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4409 CALIFORNIA AVE SW STE 100, SEATTLE, WA 98116-4916
(206) 228-7281
Mailing address
4409 CALIFORNIA AVE SW STE 100, SEATTLE, WA 98116-4916
(206) 228-7281
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60894966
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60894966
MEDICAL SPA
WA
Enumeration date
09/12/2018
Last updated
09/12/2018
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