Individual
LISA A TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
900 PACIFIC AVE STE 500, EVERETT, WA 98201-4189
(425) 339-5430
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3903
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30004191
WA
Other
Enumeration date
11/08/2006
Last updated
03/15/2013
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