Individual
DANIEL PROKOWICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
1901 S CEDAR ST STE 301, TACOMA, WA 98405-2302
(253) 572-7320
Mailing address
3512 WINDY OAKS WAY, LOGANVILLE, GA 30052-3698
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP70089580
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/28/2025
Last updated
01/16/2026
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