Individual
TAMMY D. BHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
(253) 534-7099
Mailing address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
(253) 534-7099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
AP30006310
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30006310
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0228609
STATE L&I
WA
01
—
8946220
STATE CRIME VICTIMS
WA
Enumeration date
01/21/2008
Last updated
03/03/2011
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