Miranda Petruska
Miranda Petruska is a Community Health Worker in Port Angeles, Washington. Registered with an NPI since 2011.
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
118 E 8th StPort Angeles, WA 98362-6129
Phone: (360) 457-0431
Fax: (360) 457-0493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|---|
| Community Health Worker | Taxonomy 172V00000X |
Record details
| NPI number | 1922375716 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 21, 2011 |
| Last updated in NPPES | May 1, 2024 |
| Certification date | May 1, 2024 |
| Mailing address | 118 E 8th St, Port Angeles, WA 98362-6129 |
Other providers in Port Angeles
-
T Scott Brandon, CHW
819 Georgiana St, Port Angeles, WA 98362-3511 · (360) 457-4431
-
Cheryl Dawn Koenig, LMP
118 N Liberty St Apt A, Port Angeles, WA 98362-4322 · (360) 457-7379
-
Molly Mahan, LMP
430 E Lauridsen Blvd Ste 113, Port Angeles, WA 98362-7978 · (360) 457-7576