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Individual

BONNIE MEDRANO CULBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP, PMHNP

Contact information

Practice address
6100 219TH ST SW STE 480, MOUNTLAKE TERRACE, WA 98043-2222
(256) 683-8798
Mailing address
2150 N 107TH ST, SEATTLE, WA 98133-1305
(256) 683-8798

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
1-119734
AL
363LF0000X
Family Nurse Practitioner
1-119734
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
61366274
WA

Other

Enumeration date
07/18/2017
Last updated
06/12/2024
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