Individual
TINA FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1211 N 16TH AVE, YAKIMA, WA 98902-1347
(509) 454-8888
(509) 453-0061
Mailing address
1211 N 16TH AVE, YAKIMA, WA 98902-1347
(509) 454-8888
(509) 453-0061
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60726500
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60726500
WA AP LICENSE
WA
Enumeration date
01/30/2017
Last updated
01/30/2017
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