Mary Harris-Tucker in Tacoma - Medical

Mary Harris-Tucker - NPI 1811033202

Mary Harris-Tucker is a Medical in Tacoma, Washington. Mary Harris-Tucker practices all healthcare services and medical treatments related to Medical. The NPI Number for Mary Harris-Tucker is 1811033202. The last update date is 2011-03-09.

Mary Harris-Tucker's current location address is 1717 S J St, Tacoma, Washington. You can contact this provider via phone number 2534266341 and fax number 2534266344. The mailing address for Mary Harris-Tucker is 1717 S J St, Tacoma, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Harris-Tucker
Address 1717 S J St, Tacoma, Washington
Phone Number 2534266341
Fax Number 2534266344
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1811033202
Provider Enumeration Date 2007-01-30
Last Updated Date 2011-03-09

Provider Mailing Address Detail

Address 1717 S J St
City Tacoma
State Washington (WA)
Post Code 984054933
Phone Number 2534266341
Fax Number 2534266344

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA10003442
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
259108 WA STATE L&I
6718HA WA REGENCE
193948 VA LABOR & INDUSTRIES

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FAQs about Mary Harris-Tucker

What is the unique 10-digit identification code issued to Mary Harris-Tucker by the Centers for Medicare & Medicaid Services?

The Mary Harris-Tucker has been assigned the NPI (National Provider Identifier) 1811033202 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Mary Harris-Tucker's facilities are situated?

The facilities of Mary Harris-Tucker are physically located at the following address: 1717 S J St, Tacoma, WA, 984054933.

What is Mary Harris-Tucker's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mary Harris-Tucker's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1811033202 to Mary Harris-Tucker?

The Centers for Medicare & Medicaid Services originally issued the 1811033202 to Mary Harris-Tucker on 2007-01-30.

As of what date were the Mary Harris-Tucker's details last updated?

The information pertaining to the Mary Harris-Tucker, including its address, specialty, and other details, was most recently updated on 2011-03-09.

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