Individual
SOFIA YURJEVNA KOLESNIKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2930 S MERIDIAN, PUYALLUP, WA 98373-1654
(253) 445-7600
(253) 426-6344
Mailing address
2930 S MERIDIAN, PUYALLUP, WA 98373-1654
(253) 445-7600
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60978144
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2138222
—
WA
Enumeration date
07/01/2019
Last updated
12/04/2020
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