Van Duine, Patrice Marie
Van Duine, Patrice Marie is an individual health care provider with primary practice located at 2722 Colby Ave. Ste #328 , Everett WA 98201-3557. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Van Duine, Patrice Marie can be contacted via phone (425) 740-3600.Contact Information
Primary practice address
2722 Colby Ave. Ste #328
Everett WA 98201-3557
Phone: (425) 740-3600
Fax: (425) 740-3601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | RN00059378 | Washington |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | RN00059378 | Washington |
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | RN00059378 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP30007518 | Washington |
Profile Details
| NPI number | 1376625590 |
|---|---|
| LBN Legal business name | Van Duine, Patrice Marie |
| Credentials | ARNP, M.ED, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Sep 15th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376625590 | NPPES |
| Other | 11958223 | CAQH | |
| Other | AP30007518 | CAQH | |
| Other | RN00059378 | CAQH | |
| MEDICAID | 9659749 | CAQH |
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