Tina Barrett

Individual provider Active NPI Registered Nurse · Spanaway, WA

NPI 1417337155 · NPPES record last updated Jun 8, 2015

Key facts

NPI
1417337155
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN60469258 (WA)
Practice address
22215 38TH Ave E
Spanaway, WA 98387-6828
Phone
(253) 683-7000
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN60469258WAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60469258 WA Yes

Addresses

Primary practice location

22215 38TH Ave E
Spanaway, WA 98387-6828

Mailing address

3317 49TH St NE
Tacoma, WA 98422-4618
Phone (727) 386-3305

Other providers in Spanaway, WA

All providers in Spanaway, WA · Registered Nurse in Washington

Sources for this page

Verify at the official NPI Registry.