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Derk Lee Maniscalco, DNP
Family Nurse Practitioner in Vancouver, Washington
NPI 1467764647

Derk Lee Maniscalco is a Family Nurse Practitioner based in Vancouver, WA and is specialized in Family. Derk Lee Maniscalco practices in Vancouver, WA and has the professional credentials of DNP. The NPI Number for Derk Lee Maniscalco is 1467764647 and holds a License No. 201050075NP (Washington).

The current practice location address for Derk Lee Maniscalco is 700 Ne 87Th Ave, Vancouver, WA and can be reached out via phone at 360-397-3460 and via fax at 360-604-1761.

Location: 700 Ne 87Th Ave, Vancouver, WA, 98682-0000
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Provider Profile Details
NPI Number
1467764647
Provider Name
Derk Lee Maniscalco
Credential
DNP
Provider Entity Type
Individual
Gender
Male
Address
700 Ne 87Th Ave, Vancouver, WA, 98682-0000
Phone Number
360-397-3460
Fax Number
360-604-1761
Provider Enumeration Date
07/05/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1467764647 05 WA
institution
Provider Business Practice Location Address Details
Address
700 Ne 87Th Ave
City
State
Zip
98664
Phone Number
360-397-3460
Fax Number
360-604-1761
person
Provider Business Mailing Address Details
Address
700 Ne 87Th Ave
City
State
Zip
98664
Phone Number
360-397-3460
Fax Number
360-604-1761
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
201050075NP (Oregon)
Definition
Definition to come...
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