Individual
ANNE WILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1112 S CUSHMAN AVE, TACOMA, WA 98405-3631
(253) 280-9833
Mailing address
1112 S CUSHMAN AVE, TACOMA, WA 98405-3631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 00116212
WA
163WC1500X
Community Health Registered Nurse
RN 00116212
WA
163WM0102X
Maternal Newborn Registered Nurse
RN 00116212
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023386 / 1962588426
—
WA
Enumeration date
05/23/2013
Last updated
05/23/2013
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