Goetzke, Mirela Elena

Goetzke, Mirela Elena is an individual health care provider with primary practice located at 4011 Talbot Rd S Ste 500 , Renton WA 98055-5782. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Goetzke, Mirela Elena can be contacted via phone (425) 690-3482.

Contact Information

Primary practice address
4011 Talbot Rd S Ste 500 Renton WA 98055-5782
Phone: (425) 690-3482
Fax: (425) 690-9082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 778539 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP0764780 Washington

Profile Details

NPI number 1467705921
LBN Legal business name Goetzke, Mirela Elena
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2012
Last updated Mar 17th, 2018 - about 6 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 1467705921 NPPES
Washington MEDICAID 2086738
Washington MEDICAID 345788901

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