Individual
MR. MICHAEL GARETH SHROUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
400 WARREN AVE STE 200, BREMERTON, WA 98337-1467
(360) 377-3776
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60099129
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61351555
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP61351555
ARNP LICENSE
WA
Enumeration date
04/02/2021
Last updated
12/05/2022
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