Healthcare Provider Details

I. General information

NPI: 1487330940
Provider Name (Legal Business Name): SAVY YEM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 06/27/2023
Certification Date: 06/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 FAWCETT AVE STE 100
TACOMA WA
98402-5502
US

IV. Provider business mailing address

513 125TH STREET CT E
TACOMA WA
98445-3416
US

V. Phone/Fax

Practice location:
  • Phone: 253-593-2413
  • Fax:
Mailing address:
  • Phone: 253-720-7115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLP61408368
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: