Individual
SAMANTHA JO TILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
62 W 7TH AVE STE 320, SPOKANE, WA 99204-2321
(509) 381-6505
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 939-4680
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61586561
WA
Other
Enumeration date
10/10/2024
Last updated
10/29/2024
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