Individual
MS. MARIA P. MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1660 DELAWARE ST, PEACEHEALTH WOMEN'S HEALTH PAVILION, LONGVIEW, WA 98632-2310
(360) 414-2800
(360) 414-2803
Mailing address
1115 SE 164TH AVENUE, DEPT. 358, VANCOUVER, WA 98683
(360) 414-2800
(360) 414-2803
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
AP30004093
WA
363LW0102X
Women's Health Nurse Practitioner
RN00080812
WA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP30004093
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500657432
—
OR
05
—
7002645
—
WA
Enumeration date
07/01/2005
Last updated
08/23/2013
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