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NPI Code Detail

MEDICARE: ANGELA N WILHOIT NP

MEDICARE:   ANGELA N WILHOIT  NP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP61625509WA

General Provider Information

NPI Number : 1831902808
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA N WILHOIT NP
Provider Business Mailing Address
First Line : 3729 OLYMPIC BLVD W
Second Line :
City : UNIVERSITY PLACE
State : WA
Zip : 98466-1411
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9040 JACKSON AVE
Second Line :
City : TACOMA
State : WA
Zip : 98431-5060
Country : US
Telephone Number : 253-968-3869
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2025
Last Update Date : 02/04/2025

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Directions to “ ANGELA N WILHOIT NP” Practice Location

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