MEDICARE: ANGELICA MARIA URBINA RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN61314613	WA

General Provider Information

NPI Number	:	1639010275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELICA MARIA URBINA RN

Provider Business Mailing Address
First Line	:	24711 35TH AVE S
Second Line	:
City	:	KENT
State	:	WA
Zip	:	98032-4187
Country	:	US
Telephone Number	:	206-272-0419
Fax Number	:

Provider Business Practice Location Address
First Line	:	24711 35TH AVE S
Second Line	:
City	:	KENT
State	:	WA
Zip	:	98032-4187
Country	:	US
Telephone Number	:	206-272-0419
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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