Individual provider · Type 1 NPI

Trista Lee Pendergrast, ARNP

Family Nurse Practitioner · Mount Vernon, WA

NPI number 1306184874 Active

Practice location

1400 E Kincaid St
Mount Vernon, WA 98274-4127

Fax (360) 428-2596

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP60330625 (WA)

Family Nurse Practitioner: Definition to come...

153 other providers at this address

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About NPI 1306184874

Trista Lee Pendergrast, ARNP's National Provider Identifier is 1306184874, issued on Jan 17, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mount Vernon, WA. The record was last updated on Apr 16, 2013.