Mojica, Tanisha Marie

Mojica, Tanisha Marie is an individual health care provider with primary practice located at 825 Eastlake Ave E , Seattle WA 98109-4405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mojica, Tanisha Marie can be contacted via phone (206) 288-1000.

Contact Information

Primary practice address
825 Eastlake Ave E Seattle WA 98109-4405
Phone: (206) 288-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30008030 Washington

Profile Details

NPI number 1568421691
LBN Legal business name Mojica, Tanisha Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Aug 13th, 2012 - about 13 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 1568421691 NPPES
Washington Other 0295302 L&I
Washington MEDICAID 1568421691 L&I

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