Individual
RONA BALICAS DIVINAGRACIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC, CCM
Contact information
Practice address
1400 POTTERY AVE, PORT ORCHARD, WA 98366-3711
(360) 895-5000
(877) 516-9023
Mailing address
1400 POTTERY AVE, PORT ORCHARD, WA 98366-3768
(360) 895-5000
(877) 516-9023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN85093
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
867980
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61575192
WA
Other
Enumeration date
02/15/2022
Last updated
10/15/2024
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