Individual
MISTY LEA TOMEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
19 LAKES STREET, NESPELEM, WA 99155
(509) 634-2913
Mailing address
PO BOX 71, NESPELEM, WA 99155-0071
(509) 634-2997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00157290
WA
363LF0000X
Family Nurse Practitioner
61127236
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
61127236
WA
Other
Enumeration date
09/18/2007
Last updated
03/23/2021
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