Healthcare Provider Details

I. General information

NPI: 1417983750
Provider Name (Legal Business Name): VERA H TALSETH ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 10/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 W 7TH AVE 450
SPOKANE WA
99204-2349
US

IV. Provider business mailing address

122 W 7TH AVE 450
SPOKANE WA
99204-2349
US

V. Phone/Fax

Practice location:
  • Phone: 509-455-8820
  • Fax: 509-838-4978
Mailing address:
  • Phone: 509-455-8820
  • Fax: 509-838-4978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30003884
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN00090911
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: