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Individual

MS. RONNA KATHLEEN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4800 SAND POINT WAY NE, M/S W770, SEATTLE, WA 98105-3901
(206) 987-4104
Mailing address
1103 14TH ST SW, PUYALLUP, WA 98371-7341
(253) 840-5471

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30006512
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4305353
MT
05
807121400
ID
05
9639600
WA
05
NP917WA
AK
Enumeration date
08/01/2006
Last updated
07/18/2012
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