LOAN VAN

BREMERTON, WA
NPI1144873969
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WA  AP60985721)
Enumeration Date2019-07-21
Last Update Date2020-08-31
Business Address
LOAN VAN FNP
4207 KITSAP WAY
BREMERTON, WA 98312-2447
Phone number: 360-415-1080
Mailing Address
LOAN VAN FNP
24283 E 2ND DR
AURORA, CO 80018-1598
Phone number: 808-457-5441