Individual
LINDA JEAN TRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12180 PARK AVE S, TACOMA, WA 98447-0014
(253) 535-7672
(253) 535-7590
Mailing address
12180 PARK AVE S, TACOMA, WA 98447-0014
(253) 535-7672
(253) 535-7590
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN60905611
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61322871
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/21/2019
Last updated
08/15/2022
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