Healthcare Provider Details

I. General information

NPI: 1740900687
Provider Name (Legal Business Name): INBOK WEE DNP, ARNP, AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2022
Last Update Date: 01/04/2023
Certification Date: 01/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8511 S TACOMA WAY # 200
LAKEWOOD WA
98499-6521
US

IV. Provider business mailing address

8511 S TACOMA WAY # 200
LAKEWOOD WA
98499-6521
US

V. Phone/Fax

Practice location:
  • Phone: 253-588-4015
  • Fax:
Mailing address:
  • Phone: 253-588-4015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP61347636
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: