Individual
EMILY JANE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5741 N 26TH ST, TACOMA, WA 98407-2415
(253) 756-3737
(253) 351-5399
Mailing address
5741 N 26TH ST, TACOMA, WA 98407-2415
(253) 756-3737
(253) 351-5399
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60832759
WA
363LF0000X
Family Nurse Practitioner
F01180808
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105617
—
WA
Enumeration date
02/23/2018
Last updated
12/08/2020
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