Individual
MARION L VIGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
800 WEST MAPLE STREET, MEDICAL LAKE, WA 99022-0800
(509) 299-3121
(509) 299-7015
Mailing address
800 WEST MAPLE STREET, P O BOX 800, MEDICAL LAKE, WA 99022-0800
(509) 299-3121
(509) 299-7015
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30002543
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9603317
—
WA
Enumeration date
11/17/2005
Last updated
04/15/2009
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