Individual
JOSEPH R KAPICHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP, CRNA
Contact information
Practice address
708 BROADWAY UNIT 320, TACOMA, WA 98402-3778
(253) 468-0049
Mailing address
708 BROADWAY UNIT 320, TACOMA, WA 98402-3778
(253) 468-0049
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00148522
WA
363L00000X
Nurse Practitioner
AP30006458
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30006458
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN4425080
MEDI-CAL
CA
Enumeration date
02/01/2007
Last updated
07/15/2023
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