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NPI Code Detail

MEDICARE: JEANETTE ELS NYMAN ARNP

MEDICARE:   JEANETTE ELS NYMAN  ARNP
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 PractitionerAP30003917WA

General Provider Information

NPI Number : 1396831525
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANETTE ELS NYMAN ARNP
Provider Business Mailing Address
First Line : 15214 AURORA AVE N
Second Line :
City : SHORELINE
State : WA
Zip : 98133-6143
Country : US
Telephone Number : 206-518-9021
Fax Number : 415-252-7176
Provider Business Practice Location Address
First Line : 15214 AURORA AVE N
Second Line :
City : SHORELINE
State : WA
Zip : 98133-6143
Country : US
Telephone Number : 206-518-9021
Fax Number : 415-252-7176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 04/17/2025

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Directions to “ JEANETTE ELS NYMAN ARNP” Practice Location

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