Individual
ODESSA ANN BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, PMHNP-BC
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 936-5937
Mailing address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 936-5937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00175337
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61005962
WA
Other
Enumeration date
11/15/2007
Last updated
11/04/2019
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