Individual
AMANDA GERDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-2613
(253) 968-2252
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.025866
OH
Other
Enumeration date
11/04/2019
Last updated
12/14/2023
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