Individual
MRS. MICHELLE DAWN FEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
400 15TH AVE SE, PUYALLUP, WA 98372-3750
(253) 697-1310
Mailing address
18818 23RD AVENUE CT E, TACOMA, WA 98445-4295
(253) 948-8008
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
AP60909320
WA
207VX0201X
Gynecologic Oncology Physician
AP60909320
WA
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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