Individual
MS. MARY M. WEENIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1660 S COLUMBIAN WAY, MAIL STOP S-111-DERM, SEATTLE, WA 98108-1532
(206) 764-2305
(206) 764-2689
Mailing address
1660 S COLUMBIAN WAY, S-111-DERM, SEATTLE, WA 98108-1532
(206) 764-2305
(206) 764-2689
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30004313
WA
Other
Enumeration date
03/21/2006
Last updated
09/14/2007
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