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Simon M Katumu, NP
Family Nurse Practitioner in Puyallup, Washington
NPI 1245662048

Simon M Katumu is a Family Nurse Practitioner based in Puyallup, WA and is specialized in Family. Simon M Katumu practices in Puyallup, WA and has the professional credentials of NP. The NPI Number for Simon M Katumu is 1245662048 and holds a License No. 2013013676 (Washington).

The current practice location address for Simon M Katumu is 220 15Th Ave Se Ste C, Puyallup, WA and can be reached out via phone at 253-435-3400 and via fax at 253-435-3444.

Location: 220 15Th Ave Se Ste C, Puyallup, WA, 98372-3797
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Provider Profile Details
NPI Number
1245662048
Provider Name
Simon M Katumu
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
220 15Th Ave Se Ste C, Puyallup, WA, 98372-3797
Phone Number
253-435-3400
Fax Number
253-435-3444
Provider Enumeration Date
08/02/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01260164 01 IL RAILROAD MEDICARE IL
P01260158 01 MO RAILROAD MEDICARE MO
institution
Provider Business Practice Location Address Details
Address
220 15Th Ave Se Ste C
City
State
Zip
98372
Phone Number
253-435-3400
Fax Number
253-435-3444
person
Provider Business Mailing Address Details
Address
220 15Th Ave Se Ste C
City
State
Zip
98372
Phone Number
253-435-3400
Fax Number
253-435-3444
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2013013676 (Missouri)
Definition
Definition to come...
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