Individual
MR. DUSTIN NOAH TAWATAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(800) 813-2000
Mailing address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
784688
CA
363LF0000X
Family Nurse Practitioner
95001918
CA
363LF0000X
Family Nurse Practitioner
Primary
AP60699819
WA
Other
Enumeration date
01/26/2015
Last updated
12/22/2021
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