Peck, Tatyana B

Peck, Tatyana B is an individual health care provider with primary practice located at 10634 E Riverside Dr Suite 130, Bothell WA 98011-3757. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Peck, Tatyana B can be contacted via phone (425) 806-5021.

Contact Information

Primary practice address
10634 E Riverside Dr Suite 130 Bothell WA 98011-3757
Phone: (425) 806-5021
Fax: (425) 486-3949
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X TA60056707 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1669611380
LBN Legal business name Peck, Tatyana B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2009
Last updated Mar 7th, 2025 - about last year

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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