Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP30004150 | WA |
NPI | 1033277611 |
---|---|
Provider Name | Julie K Tveit |
First Address | Spokane Valley, WA 99216-1092 |
Second Address | Spokane Valley, WA 99216-1092 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 23/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1000918 | (05) | WA |