Organization
MIKE TESTA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TESTA CNOR, RNFA (CEO)
(360) 981-5890
Entity
Organization
Contact information
Practice address
1800 NW MYHRE RD, SILVERDALE, WA 98383-7663
(360) 981-5890
(360) 930-0042
Mailing address
PO BOX 1371, SILVERDALE, WA 98383-1371
(360) 981-5890
(360) 930-0042
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN60389466
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2058514
—
WA
01
—
603596134
STATE BUSINESS LICENSE
WA
Enumeration date
06/14/2016
Last updated
06/14/2016
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