Basic Information
| Provider Information | |||||||||
| NPI: | 1669856316 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TAPIA | ||||||||
| FirstName: | NABETSE | ||||||||
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| Credential: | MS, FNP-C, RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 955 POWELL AVE SW | ||||||||
| Address2: | |||||||||
| City: | RENTON | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980572908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2537350166 | ||||||||
| FaxNumber: | 2538338987 | ||||||||
| Practice Location | |||||||||
| Address1: | 126 AUBURN AVE | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | AUBURN | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980025057 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2537350166 | ||||||||
| FaxNumber: | 2538338987 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2015 | ||||||||
| LastUpdateDate: | 05/24/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 689238 | NY | N | Nursing Service Providers | Registered Nurse | 163W00000X | RN60623276 | WA | N | Nursing Service Providers | Registered Nurse | 363LF0000X | AP60650391 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.