Individual
LUCY WAITHAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14821 18TH AVE E, TACOMA, WA 98445-3477
(253) 254-5056
Mailing address
14821 18TH AVE E, TACOMA, WA 98445-3477
(253) 254-5056
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
817455
TX
363LG0600X
Gerontology Nurse Practitioner
817455
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61099033
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
817455
RN
TX
Enumeration date
11/01/2017
Last updated
11/22/2022
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