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NPI Code Detail

MEDICARE: TAMMI R HUDSPETH ARNP

MEDICARE: TAMMI R HUDSPETH ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP30007090WA

General Provider Information

NPI Number : 1992781678
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMI R HUDSPETH ARNP
Provider Business Mailing Address
First Line : 315 MARTIN LUTHER KING JR WAY
Second Line :
City : TACOMA
State : WA
Zip : 98405-4234
Country : US
Telephone Number : 253-403-4590
Fax Number :
Provider Business Practice Location Address
First Line : 315 MARTIN LUTHER KING JR WAY
Second Line :
City : TACOMA
State : WA
Zip : 98405-4234
Country : US
Telephone Number : 253-403-4590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 04/11/2014

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Directions to “ TAMMI R HUDSPETH ARNP” Practice Location

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