Individual
TERRIE M FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ARNP
Contact information
Practice address
20 N TACOMA AVE, TACOMA, WA 98403-3133
(614) 301-4399
Mailing address
117 N TACOMA AVE, APT 805, TACOMA, WA 98403-2622
(614) 301-4399
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP 60663882
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2891652
—
OH
Enumeration date
03/29/2007
Last updated
10/11/2019
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