Individual
HOLLIE RYNERSON KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
243511 WEST HWY 101, PORT ANGELES, WA 98363-9472
(360) 452-6252
(360) 452-6274
Mailing address
243511 WEST HWY 101, PORT ANGELES, WA 98363-9472
(360) 452-6252
(360) 452-6274
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209-006133
IL
363LF0000X
Family Nurse Practitioner
Primary
AP30007743
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00421026
RAILROAD MEDICARE
WA
01
—
0222708
LABOR AND INDUSTRIES
WA
01
—
8867595
MEDICARE ID
WA
05
—
9653577
—
WA
01
—
K33667
PROVIDER NUMBER
—
Enumeration date
10/12/2006
Last updated
09/04/2012
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