Individual
ANGELA GUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, BS, RN-BC,
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN60415133
WA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
RN60415133
WA
Other
Enumeration date
12/02/2020
Last updated
02/17/2021
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