Individual
MS. RISSA ELLE DE ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
270 NE SANTA MARIA LN, BELFAIR, WA 98528-9259
(405) 623-6398
Mailing address
270 NE SANTA MARIA LN, BELFAIR, WA 98528-9259
(405) 623-6398
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60460408
WA
363L00000X
Nurse Practitioner
Primary
2024105748
WA
Other
Enumeration date
07/19/2023
Last updated
03/19/2025
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