Individual provider · Type 1 NPI

Anita Mammoser

Community Health Registered Nurse · Kent, WA

NPI number 1205044880 Active

Practice location

403 E Meeker St, Suite 200
Kent, WA 98030-5904

Fax (253) 852-3102

Mailing address

2816 S Hudson St
Seattle, WA 98108-2131

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500XRN00068100 (WA)

Community Health Registered Nurse: Definition to come...

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About NPI 1205044880

Anita Mammoser's National Provider Identifier is 1205044880, issued on May 18, 2007. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Kent, WA. The record was last updated on Jul 8, 2007.