Individual
JENNA M BULLER NOFZIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3815 S OTHELLO ST, SEATTLE, WA 98118-3510
(206) 788-3500
(206) 788-3521
Mailing address
4313 S WEBSTER ST UNIT B, SEATTLE, WA 98118-4156
(419) 306-6707
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60392632
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60781225
WA
Other
Enumeration date
08/10/2017
Last updated
09/14/2017
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