MRS. Trista Lee Pendergrast, ARNP
NPI #1306184874 in Mount Vernon, Washington
Provider Information
- NPI Number
- 1306184874
- Entity Type
- Individual
- Name
- MRS. Trista Lee Pendergrast, ARNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- ARNP
- Enumeration Date
- Jan 17, 2013
- Last Updated
- Apr 16, 2013
Practice Location
- Address
- 1400 E KINCAID ST
- City
- Mount Vernon
- State
- Washington
- ZIP Code
- 98274-4127
- Phone
- (360) 428-2501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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