TRISTA LEE PENDERGRAST

MOUNT VERNON, WA
NPI1306184874
Former NameTRISTA LEE PULLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WA  AP60330625)
Enumeration Date2013-01-17
Last Update Date2013-04-16
Business Address
Mrs. TRISTA LEE PENDERGRAST ARNP
1400 E KINCAID ST
MOUNT VERNON, WA 98274-4127
Phone number: 360-428-2501
Mailing Address
Mrs. TRISTA LEE PENDERGRAST ARNP
1400 E KINCAID ST ATTN: CREDENTIALING
MOUNT VERNON, WA 98274-4127
Phone number: 360-428-2500
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