Individual
NJUI TABI NGWI TANYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
409 S 12TH AVE, YAKIMA, WA 98902-3114
(509) 575-2949
Mailing address
2502 WOOLSEY RD APT A, YAKIMA, WA 98903-5810
(647) 885-9207
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
10605
MN
363LP2300X
Primary Care Nurse Practitioner
1106827
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
61506444
WA
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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