Individual
KATHLEEN E TUCHOLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
620 N PARK DR, SELAH, WA 98942-4100
(509) 697-5511
(509) 225-2707
Mailing address
3800 SUMMITVIEW AVE, YAKIMA, WA 98902-2715
(509) 248-7849
(509) 225-2707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209007234
IL
363LF0000X
Family Nurse Practitioner
Primary
AP60400436
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008004581
ANCC CERTIFICATION
IL
Enumeration date
09/05/2008
Last updated
03/22/2016
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