Amy R Tkachev, Nurse Practitioner
Nurse Practitioner in Moses Lake, WA. Individual provider (NPI-1).
NPI number1760104566
StatusActive
Last updated in NPPESJun 5, 2023
Details
- NPI
- 1760104566
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amy R Tkachev
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2022
- Certification date
- Jun 5, 2023
- Last updated
- Jun 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP61343076 | WA | Yes |
Practice location
3220 Road F NeMoses Lake, WA 98837-8739
Phone 509-793-6850
Mailing address
3220 Road F NeMoses Lake, WA 98837-8739
Phone 509-793-6850
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All 19 Nurse Practitioner providers in Moses Lake · All 1,082 providers in Moses Lake
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