Individual
PATRICIA L GUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
317 N DELAWARE ST, KENNEWICK, WA 99336-7750
(509) 736-5550
(509) 737-8281
Mailing address
3912 S MERCY DR, SPOKANE VALLEY, WA 99206-8500
(509) 254-3027
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
103695
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43404400
—
WI
Enumeration date
12/15/2005
Last updated
11/17/2022
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