Individual provider · Type 1 NPI

Derk Lee Maniscalco, DNP

Family Nurse Practitioner · Vancouver, WA

NPI number 1467764647 Active

Practice location

700 NE 87th Ave
Vancouver, WA 98664

Call (360) 397-3460 Map

Fax (360) 604-1761

Mailing address

15409 NE 89th St.
Vancouver, WA 98682-0000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X201050075NP (OR)
Family Nurse Practitioner Primary 363LF0000XAP60147803 (WA)

Family Nurse Practitioner: Definition to come...

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About NPI 1467764647

Derk Lee Maniscalco, DNP's National Provider Identifier is 1467764647, issued on Jul 5, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Vancouver, WA. The record was last updated on Oct 29, 2019.