Organization
MONICA NELSON
Active
Parent organization
MONICA NELSON
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONICA NELSON
Authorized official
KATHY A OSTRANDER (OFFICE MANAGER)
(253) 759-3065
Entity
Organization
Contact information
Practice address
22813 43RD AVE S, KENT, WA 98032-2000
(206) 948-5899
(253) 759-3075
Mailing address
22813 43RD AVE S, KENT, WA 98032-8468
(206) 948-5899
(253) 759-3075
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30003764
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9643776
—
WA
Enumeration date
01/24/2008
Last updated
05/09/2017
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