Individual
TATYANA IVANOVNA VASILISHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ARNP
Contact information
Practice address
16233 SYLVESTER RD SW STE 260, BURIEN, WA 98166-3044
(206) 835-7400
(206) 835-7439
Mailing address
16233 SYLVESTER RD SW STE 260, BURIEN, WA 98166-3044
(206) 835-7400
(206) 835-7439
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61075003
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2167972
—
WA
Enumeration date
05/10/2019
Last updated
01/20/2021
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