Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | AP30002086 | WA |
N | 363LA2100X | Nurse Practitioner - Acute Care | AP30002086 | WA |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP30002086 | WA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | AP30002086 | WA |
NPI | 1558696112 |
---|---|
Provider Name | Christine K Wea |
First Address | Tacoma, WA 98405-4234 |
Second Address | Tacoma, WA 98405-4234 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2009 |
Last Update Date | 14/10/2009 |