Individual
TONIA L MARINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3901 S FIFE ST, TACOMA, WA 98409-7309
(253) 301-6444
Mailing address
3901 S FIFE ST, TACOMA, WA 98409-7309
(253) 301-6444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
702616
TX
363L00000X
Nurse Practitioner
Primary
AP60482269
WA
363LA2200X
Adult Health Nurse Practitioner
AP60482269
WA
363LF0000X
Family Nurse Practitioner
AP60482269
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168384902
—
TX
01
—
TXB158913
WELLMED MEDICAL GROUP PA
—
Enumeration date
02/20/2006
Last updated
08/19/2014
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