Individual
MUTINTA MADUBANSI-KAWINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1633 WESTLAKE AVE N, SEATTLE, WA 98109-6227
(763) 340-7349
Mailing address
1633 WESTLAKE AVE N, SEATTLE, WA 98109-6227
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61313718
WA
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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