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Margaret De La Vergne
Pediatric Nurse Practitioner in Vancouver, Washington
NPI 1073190005

Margaret De La Vergne is a Pediatric Nurse Practitioner based in Portland, WA and is specialized in Pediatrics. Margaret De La Vergne practices in Vancouver, WA. The NPI Number for Margaret De La Vergne is 1073190005 and holds a License No. 61115079 (Washington).

The current practice location address for Margaret De La Vergne is 12607 Se Mill Plain Blvd, Vancouver, WA and can be reached out via phone at 360-418-6001.

Location: 12607 Se Mill Plain Blvd, Vancouver, WA, 97201-6052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073190005
Provider Name
Margaret De La Vergne
Credential
Provider Entity Type
Individual
Gender
Female
Address
12607 Se Mill Plain Blvd, Vancouver, WA, 97201-6052
Phone Number
360-418-6001
Fax Number
Provider Enumeration Date
03/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12607 Se Mill Plain Blvd
City
Vancouver
State
Washington
Zip
98684-6055
Phone Number
360-418-6001
Fax Number
person
Provider Business Mailing Address Details
Address
12607 Se Mill Plain Blvd
City
Vancouver
State
Washington
Zip
98684-6055
Phone Number
360-418-6001
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
61115079 (Washington)
Definition
Definition to come...
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