Individual
CAITLYN TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-2183
Mailing address
12041 64TH PL S, SEATTLE, WA 98178-3600
(206) 225-1206
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60250713
WA
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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