Theresia Donovan
Nurse Practitioner, Family in Tacoma, WA. Individual provider (NPI-1).
NPI number1760163992
StatusActive
Last updated in NPPESSep 22, 2026
Details
- NPI
- 1760163992
- Entity type
- Individual (NPI-1)
- Name
- Theresia Donovan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 31, 2023
- Certification date
- Sep 22, 2026
- Last updated
- Sep 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | ARNP.AP.70149297-NP | WA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 163W00000X | Registered Nurse | RN60662098 | WA |
Practice location
1901 S Cedar St Ste 301Tacoma, WA 98405-2302
Phone 253-572-7320
Mailing address
1901 S Cedar St Ste 301Tacoma, WA 98405-2302
Other practice locations
1959 Ne Pacific St
Seattle, WA 98195-4106
Seattle, WA 98195-4106
Phone 206-543-8736
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