REBECCA LOUISE FORMOSA

EVERETT, WA
NPI1437602935
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WA  AP60860345)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: WI  7088)
Enumeration Date2016-08-01
Last Update Date2018-09-12
Business Address
REBECCA LOUISE FORMOSA ARNP
1321 COLBY AVE
EVERETT, WA 98201-1665
Phone number: 425-261-2000
Mailing Address
REBECCA LOUISE FORMOSA ARNP
PO BOX 3360
PORTLAND, OR 97208-3360
Phone number: 866-747-2455