MRS. MAUREEN JEAN MITTELSTAEDT (NPI# 1578649463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578649463 |
| Entity Type | Individual |
| Full Name | MRS. MAUREEN JEAN MITTELSTAEDT |
| Credential | LMP |
| Practice Address |
601 S Race St Ste B Port Angeles WA 98362-6400 |
| Practice Telephone | 3604521715 |
| Mailing Telephone | 3604521715 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA00009555 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR AND INDUSTRIES | 117293 | 01 |
| Street Address |
601 S RACE ST STE B |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457713356 | Kaleinani Eva Myers | Specialist | 620 E Front St, Port Angeles, WA 98362-3320 | 2016-03-22 |
| 1962896985 | Elgita Eglite-wilson | Specialist | 163 Sea View Dr, Port Angeles, WA 98362-9155 | 2015-03-27 |
| 1114184314 | Louise B Andrew | Specialist | 403 S Lincoln St, Suite 4-51, Port Angeles, WA 98362-3025 | 2008-05-16 |
| 1033307913 | Angie Marie Ball | Specialist | 1614 Place Rd, Port Angeles, WA 98363-9620 | 2007-10-04 |
| 1003033671 | Thomas O Mccurdy | Specialist | 504 E 8th St, Suite A, Port Angeles, WA 98362-6246 | 2007-04-18 |
| 1700901030 | Dianna C Hill | Specialist | 4308 Euclid Ave, Port Angeles, WA 98363-2317 | 2007-03-19 |
| 1891887857 | Robert L Scott | Specialist | 814 S Peabody St, Port Angeles, WA 98362-7906 | 2006-09-28 |
| 1124046180 | J M Cain Md Pllc | Specialist | 1021 Caroline St, Port Angeles, WA 98362-3901 | 2006-07-18 |
| 1629004213 | Randell Edward Bauman | Specialist | 930 Caroline St, Port Angeles, WA 98362-3910 | 2006-06-24 |
| 1497707848 | Madeline M Harrington | Specialist | 902 Caroline, Port Angeles, WA 98362 | 2006-05-16 |
| Find all providers in PORT ANGELES | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
Please comment or provide details below to improve the information on MRS. MAUREEN JEAN MITTELSTAEDT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.