Borromeo-Wesner, Marilyn Costas

Borromeo-Wesner, Marilyn Costas is an individual health care provider with primary practice located at 1830 Bickford Ave Suite 211, Snohomish WA 98290-1749. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Borromeo-Wesner, Marilyn Costas can be contacted via phone (360) 668-1820.

Contact Information

Primary practice address
1830 Bickford Ave Suite 211 Snohomish WA 98290-1749
Phone: (360) 668-1820
Fax: (360) 668-1825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP30007479 Washington

Profile Details

NPI number 1205908498
LBN Legal business name Borromeo-Wesner, Marilyn Costas
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Feb 6th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205908498 NPPES
Other P00653006 MEDICARE RAILROAD
MEDICAID 9650862 MEDICARE RAILROAD

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