Individual
GEORGIA L COOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60244783
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0288329
L&I
WA
01
—
0288344
L&I
—
01
—
0288349
L&I
—
01
—
0288352
L&I
WA
01
—
0302323
STATE L&I
WA
01
—
G8906249
MEDICARE
WA
01
—
G8906545
MEDICARE
WA
Enumeration date
11/15/2011
Last updated
12/19/2012
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