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Individual

MS. BARBARA JEAN SEVERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
12333 NE 130TH LN, SUITE 225, KIRKLAND, WA 98034-7467
(425) 899-5350
(425) 899-5355
Mailing address
12040 NE 128TH ST, MS-10, KIRKLAND, WA 98034-3013
(425) 899-3270
(425) 899-3269

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30004455
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1233SE
BLUE SHIELD
WA
01
213265
LABOR & INDUSTRIES
WA
05
9621350
WA
05
NP3100W
AK
Enumeration date
05/25/2006
Last updated
05/22/2008
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