Individual provider · Type 1 NPI

Karin Misao Ide, ARNP

Pediatric Nurse Practitioner · Vancouver, WA

NPI number 1770508152 Active

Practice location

6100 NE Fourth Plain Blvd
Vancouver, WA 98661-6830

Mailing address

PO Box 1588
Vancouver, WA 98668-1588

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAP30006367 (WA)

Pediatric Nurse Practitioner: Definition to come...

20 other providers at this address

Other pediatric nurse practitioner providers in Vancouver

See all in Vancouver →

About NPI 1770508152

Karin Misao Ide, ARNP's National Provider Identifier is 1770508152, issued on Jul 13, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Vancouver, WA. The record was last updated on Jul 8, 2007.