Individual
MS. CHRISTINA CHIARA KING-TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
808 N 5TH AVE, SEQUIM, WA 98382-3045
(360) 683-5900
(360) 582-4804
Mailing address
808 N 5TH AVE, SEQUIM, WA 98382-3045
(360) 683-5900
(360) 582-4804
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1205
AK
363LF0000X
Family Nurse Practitioner
Primary
AP30007376
WA
363LF0000X
Family Nurse Practitioner
RN 198319-NP
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1571281
—
AK
01
—
MA NP1954
HCFA MEDICARE PART B
—
Enumeration date
01/13/2011
Last updated
04/04/2015
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