Individual
SANDRA VANVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
740 QUINCY ST, PORT TOWNSEND, WA 98368-5525
(360) 440-6220
Mailing address
PO BOX 1212, PORT TOWNSEND, WA 98368-0912
(360) 440-6220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30004771
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114073301
NPI
WA
Enumeration date
01/28/2007
Last updated
09/06/2013
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