Individual
MS. AZUSA MATSUBAYASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
910 TACOMA AVE S, TACOMA, WA 98402-2104
(253) 403-1000
Mailing address
910 TACOMA AVE S, TACOMA, WA 98402-2104
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61202571
WA
Other
Enumeration date
11/14/2019
Last updated
10/12/2021
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