Kirkby, Marydina

Kirkby, Marydina is an sole proprietor health care provider with primary practice located at 16126 Ne 3Rd Pl , Bellevue WA 98008-4433. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Nursing Service Providers / Registered Nurse is her primary health care specialty. Kirkby, Marydina can be contacted via phone (425) 417-7477.

Contact Information

Primary practice address
16126 Ne 3Rd Pl Bellevue WA 98008-4433
Phone: (425) 417-7477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00116530 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30005811 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30005811 Washington

Profile Details

NPI number 1255377883
LBN Legal business name Kirkby, Marydina
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2006
Last updated Apr 19th, 2016 - about 10 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 1255377883 NPPES
Washington Other 16088U REGENCE BLUE SHIELD PIN
Washington MEDICAID 9633983 REGENCE BLUE SHIELD PIN
Washington Other 0161864 REGENCE BLUE SHIELD PIN

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