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Individual

TAMELA COOK-MOBLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
317 SANDERS WAY, GOLDENDALE, WA 98620-9059
(509) 773-1407
(509) 773-4543
Mailing address
310 S ROOSEVELT ST, GOLDENDALE, WA 98620-9201
(509) 773-4022
(509) 773-1941

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011065
KY
363LF0000X
Family Nurse Practitioner
APRN.CNP.0027402
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1129681
RN LICENSE NUMBER
KY
01
3011065
APRN LICENSE NUMBER
KY
Enumeration date
03/16/2017
Last updated
07/10/2023
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