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General NPI Number Information
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NPI Number | 1407727746
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Entity Type | Organization
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Legal Business Name | ISLANDRN, PLLC
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 370 NE CAMANO DR # 50
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City | CAMANO ISLAND
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State | WA
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Zip | 98282-7279
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Country | US
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Telephone | 425-299-1858
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Fax |
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Provider Business Mailing Address
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Address Line | 370 NE CAMANO DR # 50
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City | CAMANO ISLAND
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State | WA
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Zip | 98282-7279
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Country | US
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Telephone | 425-299-1858
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELE WHITE
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Credential | MS, BSN, RN
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Telephone | 425-299-1858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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