Individual
PENELOPE TAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CRNP, FNP-BC
Contact information
Practice address
1035 116TH AVE NE, BELLEVUE, WA 98004-4604
(425) 688-5300
Mailing address
PO BOX 1436, SKIPPACK, PA 19474-1436
(484) 620-2145
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN60655995
WA
363LF0000X
Family Nurse Practitioner
Primary
SP025729
PA
Other
Enumeration date
02/19/2020
Last updated
10/19/2022
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