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Ms. Carol Renne Tanaka, MSN,ARNP
Family Nurse Practitioner in Kent, Washington
NPI 1720157498

Carol Renne Tanaka is a Family Nurse Practitioner based in Auburn, WA and is specialized in Family. Carol Renne Tanaka practices in Kent, WA and has the professional credentials of MSN,ARNP. The NPI Number for Carol Renne Tanaka is 1720157498 and holds a License No. AP30002123 (Washington).

The current practice location address for Carol Renne Tanaka is 613 W Gowe St, Kent, WA and can be reached out via phone at 206-296-7450 and via fax at 206-205-0750.

Location: 613 W Gowe St, Kent, WA, 98092-3868
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720157498
Provider Name
Carol Renne Tanaka
Credential
MSN,ARNP
Provider Entity Type
Individual
Gender
Female
Address
613 W Gowe St, Kent, WA, 98092-3868
Phone Number
206-296-7450
Fax Number
206-205-0750
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6911484 05 WA
institution
Provider Business Practice Location Address Details
Address
613 W Gowe St
City
Kent
State
Washington
Zip
98032-5745
Phone Number
206-296-7450
Fax Number
206-205-0750
person
Provider Business Mailing Address Details
Address
613 W Gowe St
City
Kent
State
Washington
Zip
98032-5745
Phone Number
206-296-7450
Fax Number
206-205-0750
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP30002123 (Washington)
Definition
Definition to come...
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