Thavi T Thach, ARNP
Nurse Practitioner, Family in Tacoma, WA. Individual provider (NPI-1).
NPI number1245592575
StatusActive
Last updated in NPPESApr 8, 2021
Details
- NPI
- 1245592575
- Entity type
- Individual (NPI-1)
- Name
- Thavi T Thach
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2012
- Certification date
- Apr 8, 2021
- Last updated
- Apr 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP60275959 | WA | Yes |
Practice location
1708 Yakima AveSte 107
Tacoma, WA 98405-5307
Phone 253-272-5881 · Fax 253-383-0161
Mailing address
1708 Yakima AveSte 107
Tacoma, WA 98405-5307
Phone 253-272-5881 · Fax 253-383-0161
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