Individual
TATYANA SIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
16850 SE 272ND ST, STE 100, COVINGTON, WA 98042-4931
(253) 395-1971
(253) 395-1983
Mailing address
PO BOX 34876, SEATTLE, WA 98124-1876
(425) 656-5412
(253) 395-1983
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60669349
WA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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