Individual
AMY B LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1455 11TH AVE NW, ISSAQUAH, WA 98027-5319
(425) 391-3900
Mailing address
1455 11TH AVE NW, ISSAQUAH, WA 98027-5319
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60565015
WA
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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