Individual
MS. BONNIE BEARDSLEY SANDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. N., A. R. N. P.
Contact information
Practice address
9430 30TH AVE SW, SEATTLE, WA 98126-3963
(206) 252-9570
Mailing address
1814 201ST PL SW, LYNNWOOD, WA 98036-7060
(425) 776-2341
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30000053
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9610296
—
WA
Enumeration date
01/18/2007
Last updated
07/08/2007
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