Individual
MRS. TANYA L SPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1100 WHEATON WAY, SUITE F AND G, BREMERTON, WA 98310-4459
(360) 621-2696
(844) 602-4646
Mailing address
PO BOX 1266, BREMERTON, WA 98337-0507
(360) 621-2696
(844) 602-4646
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30007455
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9650441
—
WA
01
—
G8947504
GROUP PTAN
WA
Enumeration date
10/27/2006
Last updated
01/13/2016
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