Female

Jaclyn Mahlstede ARNP

Family Nurse Practitioner in Bellevue, WA(View on Map)

Full Name

Jaclyn Mahlstede ARNP

NPI Number

1659610764

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/08/2013

Specialties

(Taxonomies)

Code

363LF0000X

Primary Taxonomy

Yes

Licenses

State

Washington
Washington

License Number

AP60820546
60820546

Contact
Information

Purpose

Mailing
Location

Address

MS 315010
1135-116TH AVENUE NE

City

Seattle
Bellevue

State

WA
WA

Postal Code

98124-3947
98004

Country

US
US

Telephone Number

(425) 467-3655
(520) 324-2160

Identifiers

Identifier

2145072
791187

Identifier State

WA
AZ

Identifier Issuer

Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/14/2020

Provider Address

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