Individual
MARGARET M NEBIOLNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
307 W COTA ST, SHELTON, WA 98584-2265
(360) 810-7236
Mailing address
591 E CENTERLINE RD, GRAPEVIEW, WA 98546-9494
(360) 810-7236
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60705230
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP60705230
WASHINGTON STATE BOARD OF NURSING
WA
Enumeration date
11/26/2019
Last updated
11/26/2019
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