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NPI Code Detail

MEDICARE: MARTHA JOY COWARD RN

MEDICARE: MARTHA JOY COWARD RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAP70062117WA
2363L00000XNurse Practitioner3261079ID

General Provider Information

NPI Number : 1336505577
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA JOY COWARD RN
Provider Business Mailing Address
First Line : 604 OAKESDALE AVE SW STE 102
Second Line :
City : RENTON
State : WA
Zip : 98057-5204
Country : US
Telephone Number : 253-403-1000
Fax Number :
Provider Business Practice Location Address
First Line : 604 OAKESDALE AVE SW STE 102
Second Line :
City : RENTON
State : WA
Zip : 98057-5204
Country : US
Telephone Number : 253-403-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2016
Last Update Date : 12/15/2025

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