Individual
MADELINE PIEDISCALZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4410 106TH ST SW, MUKILTEO, WA 98275-4700
(425) 493-6004
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60584725
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2047297
—
WA
Enumeration date
07/24/2015
Last updated
01/09/2017
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