Individual
KRISTI VAN DOORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1000
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60287078
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61147509
WA
Other
Enumeration date
10/15/2020
Last updated
01/10/2024
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