Individual
MRS. JOANNE GIGI HARDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7424 BRIDGEPORT WAY W, SUITE 301, LAKEWOOD, WA 98499-8120
(253) 212-0093
(866) 375-6026
Mailing address
3702 S FIFE ST, SUITE K, PMB 402, TACOMA, WA 98409-7374
(253) 212-0093
(866) 375-6026
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006122
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9637612
—
WA
Enumeration date
05/05/2006
Last updated
06/26/2008
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