Individual
HEATHER JO PETERSON GULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1742 MARKET ST, STE 102, TACOMA, WA 98402-3223
(253) 692-5811
(253) 692-4768
Mailing address
1742 MARKET ST, STE 102, TACOMA, WA 98402-3223
(253) 692-5811
(253) 692-4768
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60112793
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60266522
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0299850
STATE L&I
WA
01
—
0302436
STATE L&I
WA
01
—
0302680
STATE L&I
WA
Enumeration date
01/25/2012
Last updated
01/09/2013
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