Individual
HERMENIGILDA ANG EUSEBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2930 S MERIDIAN STE 200, PUYALLUP, WA 98373-1654
(253) 445-7600
(253) 864-5999
Mailing address
2930 S MERIDIAN STE 200, PUYALLUP, WA 98373-1654
(253) 445-7600
(253) 864-5999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024187189
VA
363LF0000X
Family Nurse Practitioner
Primary
AP61592114
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2314753
—
WA
Enumeration date
05/31/2023
Last updated
04/01/2025
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