Individual provider · Type 1 NPI

Maxine Ceraolo, ARNP

Psychiatric/Mental Health Nurse Practitioner · Port Angeles, WA

NPI number 1043808405 Active

Practice location

933 E 1st St
Port Angeles, WA 98362-4012

Fax (360) 452-8087

Mailing address

240 W Front St Ste A
Port Angeles, WA 98362-2609

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP61167344 (WA)
Psychiatric/Mental Health Registered Nurse 163WP0808X417174 (OH)
Psychologist 103T00000XAP61167344 (WA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1043808405

Maxine Ceraolo, ARNP's National Provider Identifier is 1043808405, issued on Dec 31, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Port Angeles, WA. The record was last updated on Jul 14, 2026.