Marine, Tonia L

Marine, Tonia L is an individual health care provider with primary practice located at 3901 S Fife St , Tacoma WA 98409-7309. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Marine, Tonia L can be contacted via phone (253) 301-6444.

Contact Information

Primary practice address
3901 S Fife St Tacoma WA 98409-7309
Phone: (253) 301-6444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 702616 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60482269 Washington
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP60482269 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60482269 Washington

Profile Details

NPI number 1730154279
LBN Legal business name Marine, Tonia L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Aug 19th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730154279 NPPES
Texas MEDICAID 168384902
Texas Other TXB158913

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