Individual
DR. JENNIFER ANN NOLAN-MONTELEONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22010 17TH AVE SE, SUITE F, BOTHELL, WA 98021-8486
(425) 488-4988
(425) 488-4993
Mailing address
12910 TOTEM LAKE BLVD NE, SUITE 260, KIRKLAND, WA 98034-2954
(425) 899-3270
(425) 899-3269
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00040971
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201827
LABOR & INDUSTRIES
WA
05
—
8339368
—
WA
Enumeration date
11/18/2005
Last updated
12/01/2011
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