Gearhart, Tina M

Gearhart, Tina M is an individual health care provider with primary practice located at 425 S Grand Ave , Pullman WA 99163-2751. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Gearhart, Tina M can be contacted via phone (509) 330-5539.

Contact Information

Primary practice address
425 S Grand Ave Pullman WA 99163-2751
Phone: (509) 330-5539
Fax: (509) 795-0936
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X AP60659377 Washington
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RXM-8029 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 201603004 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP60659377 Washington

Profile Details

NPI number 1992908511
LBN Legal business name Gearhart, Tina M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2007
Last updated Aug 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992908511 NPPES
Colorado MEDICAID 80174019

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