NPI 1861795452

Gregory Cannistraci, PAC

Practitioner Physician Assistant Camano Island, WA

Practice location

Address: 771 Fox Trot Way, Camano Island, WA 98282-8861
Phone: (360) 629-6205

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA3696 (WA)

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Registry record

NPI: 1861795452
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Dec 2010
Record last updated: 21 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.