Individual
MAE MISKIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, RN
Contact information
Practice address
1800 112TH AVE NE, SUITE 150-W, BELLEVUE, WA 98004-2993
(425) 646-7279
Mailing address
1800 112TH AVE NE, SUITE 150-W, BELLEVUE, WA 98004-2993
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00174332
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60180768
WA
Other
Enumeration date
02/22/2008
Last updated
11/02/2010
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