Individual
MABEL EZEONWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
18115 CAMPUS WAY NE, BOTHELL, WA 98011-8246
(425) 352-3815
Mailing address
18115 CAMPUS WAY NE, BOTHELL, WA 98011-8246
(425) 352-3815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61351676
WA
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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