Individual
AMANDA CATHERINE KVALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGACNP-BC
Contact information
Practice address
1802 YAKIMA AVE STE 304, TACOMA, WA 98405-5305
(253) 627-1244
Mailing address
1802 YAKIMA AVE STE 304, TACOMA, WA 98405-5305
(253) 627-1244
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP60833522
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP60833522
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105586
—
WA
Enumeration date
03/08/2018
Last updated
10/24/2023
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