Angelique Marie Berens
Facial Plastic Surgeon Otolaryngology/Facial Plastic Surgery
2901 174th St Ne
Marysville
, Washington 98271-4743
Angelique Marie Berens
Facial Plastic Surgeon Otolaryngology/Facial Plastic Surgery
2901 174th St Ne
Marysville
, Washington 98271-4743
(360) 454-1941
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About
Features
Specialties
- Facial Plastic Surgeon
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Angelique Marie Berens
- Po Box 5127
- Everett, WA
- Zip : 98206-5127
- Phone : (360) 454-1941
Second Address
- Angelique Marie Berens
- 2901 174th St Ne
- Marysville, WA
- Zip : 98271-4743
- Phone : (604) 541-9413
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207YS0123X | Facial Plastic Surgeon | A154468 | CA |
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD60685509 | WA |
National Provider Identifier
| NPI | 1861768582 |
|---|---|
| Provider Name | Angelique Marie Berens |
| First Address | Everett, WA 98206-5127 |
| Second Address | Marysville, WA 98271-4743 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2012 |
| Last Update Date | 19/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.