PORT OF ANGELS PEDIATRICS PC NPI 1487186888

NPI Information

PORT OF ANGELS PEDIATRICS, PC is a pediatrics nurse practitioner in Port Angeles, WA. PORT OF ANGELS PEDIATRICS, PC NPI is 1487186888. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Port Of Angels Pediatrics.

The provider's business location address is:

2844 W EDGEWOOD DR
PORT ANGELES, WA
ZIP 98363-510
Phone: (615) 618-3812

The provider's authorized official is Kalli Mae Jones .
The authorized official title is President/nurse Practitioner and has the following contact phone number (360) 460-9493.

The enumeration date for this NPI number is 4/3/2017 and was last updated on 4/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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