MRS. Amy R Tkachev, NURSE PRACTITIONER
NPI #1760104566 in Moses Lake, Washington
Provider Information
- NPI Number
- 1760104566
- Entity Type
- Individual
- Name
- MRS. Amy R Tkachev, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- Sep 19, 2022
- Last Updated
- Jun 5, 2023
Practice Location
- Address
- 3220 ROAD F NE
- City
- Moses Lake
- State
- Washington
- ZIP Code
- 98837-8739
- Phone
- (509) 793-6850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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