Healthcare Provider Details

I. General information

NPI: 1568597813
Provider Name (Legal Business Name): TAMARA MARIE TOBIAS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1545 116TH AVE NE SUITE 102
BELLEVUE WA
98004-3813
US

IV. Provider business mailing address

1545 116TH AVE NE SUITE 102
BELLEVUE WA
98004-3813
US

V. Phone/Fax

Practice location:
  • Phone: 206-301-5000
  • Fax: 425-462-5166
Mailing address:
  • Phone: 206-301-5000
  • Fax: 425-462-5166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP30006677
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: