Individual
TAMARA A IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2715 SAINT ANDREWS LOOP, PASCO, WA 99301-3386
(509) 412-1051
Mailing address
PO BOX 959, YAKIMA, WA 98902
(509) 575-4084
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61199411
WA
Other
Enumeration date
10/08/2019
Last updated
10/03/2021
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