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Individual

SILVIA TINA FRADKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
6512 20TH STREET CT W, SUITE C, FIRCREST, WA 98466-6212
(253) 459-0295
(253) 565-5899
Mailing address
6512 20TH STREET CT W STE C, FIRCREST, WA 98466-6212
(253) 459-0295
(253) 565-5899

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30000733
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8853847
PIN
WA
Enumeration date
07/12/2005
Last updated
10/18/2007
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