Individual
KINDRA DAWN CLARK-SNUSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, ARNP, ANP-BC
Contact information
Practice address
1959 NE PACIFIC ST, UW BOX #356424, SEATTLE, WA 98195-0001
(206) 543-9485
(206) 685-8684
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60515714
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932504743
—
WA
Enumeration date
10/23/2014
Last updated
08/26/2015
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