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Jonathan Carl St Martin
Licensed Practical Nurse in Burien, Washington
NPI 1134782675

Jonathan Carl St Martin is a Licensed Practical Nurse based in Burien, WA. Jonathan Carl St Martin practices in Burien, WA. The NPI Number for Jonathan Carl St Martin is 1134782675 and holds a License No. LP60369082 (Washington).

The current practice location address for Jonathan Carl St Martin is 15675 Ambaum Blvd Sw, Burien, WA and can be reached out via phone at 206-631-3011.

Location: 15675 Ambaum Blvd Sw, Burien, WA, 98166-2523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134782675
Provider Name
Jonathan Carl St Martin
Credential
Provider Entity Type
Individual
Gender
Male
Address
15675 Ambaum Blvd Sw, Burien, WA, 98166-2523
Phone Number
206-631-3011
Fax Number
Provider Enumeration Date
04/19/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LP60369082 01 WA NURSING LICENSE
institution
Provider Business Practice Location Address Details
Address
15675 Ambaum Blvd Sw
City
Burien
State
Washington
Zip
98166-2523
Phone Number
206-631-3011
Fax Number
person
Provider Business Mailing Address Details
Address
15675 Ambaum Blvd Sw
City
Burien
State
Washington
Zip
98166-2523
Phone Number
206-631-3011
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LP60369082 (Washington)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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