Individual
MRS. PATRICIA LYNN DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
850 MAPLE STREET, MEDICAL LAKE, WA 99022-0800
(509) 565-4000
(509) 565-4705
Mailing address
P.O. BOX 800, 850 MAPLE STREET, MEDICAL LAKE, WA 99022-0800
(509) 565-4000
(509) 565-4705
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
RN00164832
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30007404
WA
Other
Enumeration date
08/30/2005
Last updated
10/08/2015
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