Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP30003301 | WA |
NPI | 1023455938 |
---|---|
Provider Name | Ms. Adina D Tarpley |
First Address | Vancouver, WA 98665-0415 |
Second Address | Vancouver, WA 98665-0415 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2013 |
Last Update Date | 31/05/2013 |