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Individual

MRS. AMY KALISEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
939 CAROLINE ST, PORT ANGELES, WA 98362-3997
(360) 417-7000
Mailing address
221 BERTHOUD WAY, GOLDEN, CO 80401-4813
(281) 650-0057

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61112885
WA
363L00000X
Nurse Practitioner
Primary
APN.0995589-NP
CO

Other

Enumeration date
10/08/2020
Last updated
08/14/2023
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