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Individual

LAURIE JEAN GWERDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
6719 S 211TH ST STE 102, KENT, WA 98032-2331
(253) 459-7525
Mailing address
6719 S 211TH ST STE 102, KENT, WA 98032-2331
(253) 459-7525

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30006110
WA
363LA2200X
Adult Health Nurse Practitioner
AP30006110
WA
363LP2300X
Primary Care Nurse Practitioner
AP30006110
WA
363LX0106X
Occupational Health Nurse Practitioner
Primary
AP30006110
WA

Other

Enumeration date
10/04/2006
Last updated
07/26/2013
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