Individual
MRS. JAENIFFER ANG KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1051 COLUMBIA AVE, CONNELL, WA 99326-8702
(509) 488-5256
(509) 488-9939
Mailing address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30004437
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038391
—
WA
01
—
AP30004437
WASHINGTON STATE DEPT. OF HEALTH
WA
Enumeration date
12/02/2005
Last updated
10/13/2023
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