Individual
SIMON M KATUMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8833 PACIFIC AVE STE D, TACOMA, WA 98444-6490
(253) 212-0272
Mailing address
8833 PACIFIC AVE STE D, TACOMA, WA 98444-6490
(253) 212-0272
(253) 254-7043
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2013013676
MO
363LF0000X
Family Nurse Practitioner
Primary
AP60978479
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01260158
RAILROAD MEDICARE MO
MO
01
—
P01260164
RAILROAD MEDICARE IL
IL
Enumeration date
08/02/2013
Last updated
11/14/2024
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