Ceraolo, Maxine

Ceraolo, Maxine is an individual health care provider with primary practice located at 933 E 1St St , Port Angeles WA 98362-4012. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ceraolo, Maxine can be contacted via phone (360) 452-7891.

Contact Information

Primary practice address
933 E 1St St Port Angeles WA 98362-4012
Phone: (360) 452-7891
Fax: (360) 452-8087
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X AP61167344 Washington
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 417174 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP61167344 Washington

Profile Details

NPI number 1043808405
LBN Legal business name Ceraolo, Maxine
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2020
Last updated Oct 2nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043808405 NPPES
Washington MEDICAID 2211667

Popular Providers