Individual
AMANDA BETH GINOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 339-5410
(425) 257-1433
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 339-5410
(425) 257-1433
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60517546
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60517547
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760737027
—
WA
Enumeration date
07/23/2012
Last updated
08/21/2020
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