Individual
TANA RADKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1959 NE PACIFIC ST, BOX 356043, SEATTLE, WA 98195-0001
(206) 598-3897
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00161774
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30007845
WA
Other
Enumeration date
08/15/2008
Last updated
12/14/2009
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