Individual
TATUM MICHELLE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
19110 BOTHELL WAY NE STE 201, BOTHELL, WA 98011-2970
(253) 651-4709
Mailing address
20903 88TH PL W, EDMONDS, WA 98026-6905
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61414677
WA
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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