Individual
ANN M FAILONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
661 NESS CORNER RD, PORT HADLOCK, WA 98339
(360) 912-5777
(206) 472-6035
Mailing address
PO BOX 574, PORT HADLOCK, WA 98339-0574
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30005953
WA
363LF0000X
Family Nurse Practitioner
AP30005953
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202595
L & I (REGULAR)
WA
01
—
192942504
US DEPT OF LABOR
WA
01
—
3976FA
REGENCE BLUESHIELD
WA
01
—
423898079
GROUP HEALTH COOPERATIVE
WA
01
—
8937956
L & I (CRIME VICTIM)
WA
05
—
9635301
—
WA
01
—
P00272186
RAILROAD MEDICARE
WA
Enumeration date
07/16/2006
Last updated
01/08/2019
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