Individual
PNINIT VAROL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 S KITSAP BLVD STE 100, PORT ORCHARD, WA 98366-3709
(360) 744-6275
(360) 744-6270
Mailing address
3715 NE TROUT BROOK LN, BREMERTON, WA 98311-8203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01054783A
IN
207R00000X
Internal Medicine Physician
Primary
MD00048439
WA
208000000X
Pediatrics Physician
01054783A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200466040
—
IN
Enumeration date
10/14/2005
Last updated
06/09/2022
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