Individual provider · Type 1 NPI

Maria De Los Angeles Gamboa

Licensed Practical Nurse · Colville, WA

NPI number 1699590117 Active

Practice location

982 E Columbia Ave Ste 201
Colville, WA 99114-3316

Call (509) 685-5000 Map

Mailing address

165 E Hawthorne Ave
Colville, WA 99114-2629

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP61523931 (WA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1699590117

Maria De Los Angeles Gamboa's National Provider Identifier is 1699590117, issued on Nov 19, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Colville, WA. The record was last updated on Nov 19, 2024.