Individual provider · Type 1 NPI
Mark Detwiler, R.N.
School Registered Nurse · Seattle, WA
NPI number
1821453002
Active
Practice location
10811 12th Ave SW
Seattle, WA 98146-2125
Fax (206) 631-4506
Mailing address
3441 Walnut Ave SW
Seattle, WA 98116-3442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse Primary | 163WS0200X | RN60346597 (WA) |
School Registered Nurse: Definition to come...
2 other providers at this address
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About NPI 1821453002
Mark Detwiler, R.N.'s National Provider Identifier is 1821453002, issued on Dec 15, 2015. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Seattle, WA. The record was last updated on Dec 15, 2015.