Individual
PATRICIA ANN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3402 S 19TH ST, TACOMA, WA 98405-2487
(253) 301-5400
Mailing address
7223 67TH AVE W, LAKEWOOD, WA 98499-8330
(253) 212-7787
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10007229
OR
363L00000X
Nurse Practitioner
95031444
CA
363L00000X
Nurse Practitioner
Primary
AP60838565
WA
Other
Enumeration date
03/08/2018
Last updated
09/10/2024
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