Individual
MS. MARCHELL LYNN MATHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MN, ARNP
Contact information
Practice address
613 W GOWE ST, KENT, WA 98032-5745
(206) 296-7450
(206) 205-0750
Mailing address
10141 NE 66TH LN, KIRKLAND, WA 98033-6870
(425) 803-5075
(425) 827-3654
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30006499
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9640442
—
WA
Enumeration date
11/14/2006
Last updated
07/08/2007
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