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General NPI Number Information
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NPI Number | 1205741295
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Entity Type | Organization
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Legal Business Name | NIGHTINGALE DERMATOLOGY PLLC
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 19987 1ST AVE S STE 103
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City | NORMANDY PARK
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State | WA
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Zip | 98148-2400
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Country | US
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Telephone | 206-929-4707
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Fax |
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Provider Business Mailing Address
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Address Line | 17837 1ST AVE S # 156
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City | NORMANDY PARK
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State | WA
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Zip | 98148-1728
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Country | US
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Telephone | 206-929-4707
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATIE HAYES
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Credential | ARNP
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Telephone | 206-650-9453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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