Healthcare Provider Details

I. General information

NPI: 1639727977
Provider Name (Legal Business Name): JOSLYN A TAPEC ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2019
Last Update Date: 08/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3908 10TH ST SE
PUYALLUP WA
98374-2188
US

IV. Provider business mailing address

3908 10TH ST SE
PUYALLUP WA
98374-2188
US

V. Phone/Fax

Practice location:
  • Phone: 253-848-5951
  • Fax: 253-845-7073
Mailing address:
  • Phone: 253-848-5951
  • Fax: 253-845-7073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60977648
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60977648
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: