Spoon, Tanya L

Spoon, Tanya L is an individual health care provider with primary practice located at 1100 Wheaton Way Suite F And G, Bremerton WA 98310-4459. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Spoon, Tanya L can be contacted via phone (360) 621-2696.

Contact Information

Primary practice address
1100 Wheaton Way Suite F And G Bremerton WA 98310-4459
Phone: (360) 621-2696
Fax: (844) 602-4646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30007455 Washington

Profile Details

NPI number 1356427918
LBN Legal business name Spoon, Tanya L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jan 13th, 2016 - about 10 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 1356427918 NPPES
Washington Other G8947504 GROUP PTAN
Washington MEDICAID 9650441 GROUP PTAN

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