# MIKE TESTA, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710337530
- **Authorized official:** MICHAEL TESTA CNOR, RNFA (CEO)
- **Authorized official phone:** (360) 981-5890

## Contact information

- **Practice address:** 1800 NW MYHRE RD, SILVERDALE, WA 98383-7663
- **Practice address phone:** (360) 981-5890
- **Practice address fax:** (360) 930-0042
- **Mailing address:** PO BOX 1371, SILVERDALE, WA 98383-1371
- **Mailing address phone:** (360) 981-5890
- **Mailing address fax:** (360) 930-0042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | RN60389466 | WA | Yes |

## Other

- **Enumeration date:** 06/14/2016
- **Last updated:** 06/14/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2058514 | — | WA |
| 01 | — | 603596134 | STATE BUSINESS LICENSE | WA |
