Individual
MRS. AMY R TKACHEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3220 ROAD F NE, MOSES LAKE, WA 98837-8739
(509) 793-6850
Mailing address
3220 ROAD F NE, MOSES LAKE, WA 98837-8739
(509) 793-6850
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61343076
WA
Other
Enumeration date
09/19/2022
Last updated
06/05/2023
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