Individual
JULIANA H NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
37624 SE FURY ST STE 101, SNOQUALMIE, WA 98065-9680
(425) 888-2016
(206) 320-5170
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60492221
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60775653
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972024529
—
WA
Enumeration date
07/05/2017
Last updated
04/28/2021
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