Individual
ANGELA CATHERINE WANDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 583-2299
(206) 223-6395
Mailing address
1818 S LANE ST, SEATTLE, WA 98144-2908
(206) 349-7651
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61265930
WA
Other
Enumeration date
04/14/2022
Last updated
10/14/2022
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