Tetyana Mcilvaine
Geriatric Medicine
9177 Ridgetop Blvd Nw
Silverdale
, Washington 98383-8519
Tetyana Mcilvaine
Geriatric Medicine
9177 Ridgetop Blvd Nw
Silverdale
, Washington 98383-8519
(360) 307-6961
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Tetyana Mcilvaine
- 9177 Ridgetop Blvd Nw
- Silverdale, WA
- Zip : 98383-8519
- Phone : (360) 307-6961
Second Address
- Tetyana Mcilvaine
- 9177 Ridgetop Blvd Nw
- Silverdale, WA
- Zip : 98383-8519
- Phone : (360) 307-6961
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | DOS1935 | HI |
National Provider Identifier
| NPI | 1033645684 |
|---|---|
| Provider Name | Tetyana Mcilvaine |
| First Address | Silverdale, WA 98383-8519 |
| Second Address | Silverdale, WA 98383-8519 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2017 |
| Last Update Date | 09/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| VAD000 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.