Individual
ANGELO VALENZUELA POBLETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
11567 CANTERWOOD BLVD, GIG HARBOR, WA 98332-5812
(253) 534-7000
(253) 534-7099
Mailing address
11567 CANTERWOOD BLVD, GIG HARBOR, WA 98332-5812
(253) 534-7000
(253) 534-7099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61622540
WA
363LF0000X
Family Nurse Practitioner
AP61622540
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2315228
—
WA
Enumeration date
10/22/2024
Last updated
05/02/2025
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