Individual
MISS AUTUMN ANNALISE DENNISTOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1705 NE PACIFIC ST, SEATTLE, WA 98195-0009
(206) 543-8736
Mailing address
2325 CROSBY DR, MOUNT VERNON, WA 98274-9011
(360) 708-1835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60912993
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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