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RENEE PATRICIA WILGRESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
516 HIGH ST # MS 9132, BELLINGHAM, WA 98225-5946
(360) 650-2633
Mailing address
516 HIGH ST # MS 9132, BELLINGHAM, WA 98225-5946
(360) 650-2633

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006336
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0267792
L&I/CRIME VICTIMS
WA
01
1558413799
MEDICAID DSHS PROVIDER ONE
WA
01
G8894358
MEDICARE PTAN
Enumeration date
01/17/2007
Last updated
06/01/2016
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