Individual
MS. ALLIE GRACE MOREHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1201 PACIFIC AVE STE 1910, TACOMA, WA 98402-4315
(253) 572-2949
Mailing address
25603 138TH STREET CT E, BUCKLEY, WA 98321-8822
(406) 788-3844
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
61219469
WA
363L00000X
Nurse Practitioner
Primary
61465181
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
NO OTHER NUMBERS
—
Enumeration date
06/24/2022
Last updated
03/04/2024
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