Individual
DR. TAMMY GAYLE LIPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, PMHNP-BC
Contact information
Practice address
1718 164TH ST SE, MILL CREEK, WA 98012-8080
(940) 536-9440
Mailing address
1718 164TH ST SE, MILL CREEK, WA 98012-8080
(940) 536-9440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP123012
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60866580
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337579201
—
TX
05
—
337579202
—
TX
05
—
337579203
—
TX
Enumeration date
01/24/2013
Last updated
02/05/2021
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