NPI Profile for MARINA V DOLMATOVA in PUYALLUP, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Medical-Surgical |
163WM0705X |
| NPI Number | 1043865421 |
|
| Status | Active | |
| Credentials | ARNP (Advanced Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 08/02/2019 | |
| Last updated | 06/02/2025 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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MARINA V DOLMATOVA
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