Individual provider · Type 1 NPI
Kimberley Elizabeth Wengrove, N.P.
Family Nurse Practitioner · Vancouver, WA
NPI number
1447283064
Active
Practice location
1601 E 4th Plain Blvd, V3-HBPC
Vancouver, WA 98661
Fax (360) 690-0343
Mailing address
36006 Bryant Dr SW
Albany, OR 97321-1853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 77745 (CO) |
| Community Health Nurse Practitioner | 363LC1500X | 77745 (CO) |
| Gerontology Nurse Practitioner | 363LG0600X | 77745 (CO) |
| Primary Care Nurse Practitioner | 363LP2300X | 77745 (CO) |
| Family Nurse Practitioner Primary | 363LF0000X | 77745 (CO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1447283064
Kimberley Elizabeth Wengrove, N.P.'s National Provider Identifier is 1447283064, issued on Jul 8, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 29, 2022.