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FINAN TEDLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1628 S MILDRED ST STE 102, TACOMA, WA 98465-1628
(206) 538-6300
(206) 538-6301
Mailing address
PO BOX 11823, ATLANTA, GA 30355-1823
(602) 692-2082

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61401395
WA
363LP2300X
Primary Care Nurse Practitioner
F12180424
GA

Other

Enumeration date
05/03/2020
Last updated
01/13/2025
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