Individual
MARILYN J BURMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6893
(253) 426-6449
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6893
(253) 426-6449
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30004615
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0206372
STATE L&I
WA
01
—
8940836
STATE CRIME VICTIMS
WA
05
—
9626813
—
WA
Enumeration date
07/03/2007
Last updated
11/10/2010
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