Individual
JEAN PAULA BADAR LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, BSN
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60897129
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP60897129
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851876791
—
WA
Enumeration date
09/26/2018
Last updated
05/03/2019
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