Individual
MS. TAYLOR N MALAZDREWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-BC
Contact information
Practice address
1200 112TH AVE NE STE B100, BELLEVUE, WA 98004-3751
(425) 462-1132
(425) 456-3668
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60550781
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60737303
WA
363LP2300X
Primary Care Nurse Practitioner
AP60737303
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831639848
—
WA
Enumeration date
02/24/2017
Last updated
06/17/2021
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