Mallory Marie Somerville, RN
Registered Nurse, Infection Control in Puyallup, WA. Individual provider (NPI-1).
NPI number1982307666
StatusActive
Last updated in NPPESMar 23, 2023
Details
- NPI
- 1982307666
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mallory Marie Somerville
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2023
- Certification date
- Mar 22, 2023
- Last updated
- Mar 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WI0600X | Registered Nurse, Infection Control | RN60788778 | WA | Yes |
| 163WX0800X | Registered Nurse, Orthopedic | RN60788778 | WA | |
| 163W00000X | Registered Nurse | RN60788778 | WA | |
| 163WM0705X | Registered Nurse, Medical-Surgical | RN60788778 | WA |
Practice location
401 15th Ave SePuyallup, WA 98372-3715
Phone 253-697-1617
Mailing address
6407 83rd Avenue Ct WUniversity Place, WA 98467-3904
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