Organization
FRANCISCAN HEALTH SYSTEM
Active
Parent organization
FRANCISCAN HEALTH SYSTEM
Other names
St Joseph Medical Center Burn Trauma Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANCISCAN HEALTH SYSTEM
Authorized official
MIKE FITZGERALD (VP, FINANCIAL OPS)
(253) 552-4105
Entity
Organization
Contact information
Practice address
1802 YAKIMA AVE, #102A, TACOMA, WA 98405-4499
(253) 426-6309
(253) 207-4845
Mailing address
1802 YAKIMA AVE, #102A, TACOMA, WA 98405-4499
(253) 426-6309
(253) 207-4845
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006578
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9644972
—
WA
Enumeration date
04/11/2007
Last updated
02/20/2008
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