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Individual

ASHLEY PATTENGALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, FNP

Contact information

Practice address
1624 S I ST STE 204, TACOMA, WA 98405-5092
(253) 752-8882
(253) 590-0260
Mailing address
1624 S I ST STE 204, TACOMA, WA 98405-5092
(253) 752-8882
(253) 590-0260

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61111203
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2211125
WA
Enumeration date
02/13/2019
Last updated
09/21/2022
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