PATTIE RAE TUCK RN, IBCLC
NPI 1073255634
Registered Nurse - Lactation Consultant in Port Angeles, WA
Active since April 12, 2022
About Pattie Rae Tuck Rn, Ibclc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATTIE RAE TUCK RN, IBCLC (NPI 1073255634) is an individual lactation consultant provider in Port Angeles, Washington, licensed in Washington (RN00103617) and active in the NPI registry since April 2022.
NPPES Registry Identity
NPI1073255634
Entity TypeIndividualFemale
Primary Taxonomy163WL0100X
Provider Legal NamePATTIE RAE TUCKCredential: RN, IBCLC
Location Address325 E 6TH STPort Angeles, WA 98362-6203
Mailing Address1455 View Vista ParkPort Angeles, WA 98362-9356 · (360) 565-4141
Phone(360) 457-8355
Sole ProprietorYes
Enumeration DateApril 12, 2022
NPPES CertifiedApril 12, 2022
✔ NPI 1073255634 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Lactation ConsultantNursing Service Providers
Taxonomy Code163WL0100X
License✔ Licensed in WA · RN00103617
325 E 6TH ST, Port Angeles, WA 98362
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073255634, enumerated as an "individual" on April 12, 2022.
The provider is located at 325 E 6TH ST PORT ANGELES, WA 98362 and the phone number is (360) 457-8355.
Registered Nurse with taxonomy code 163WL0100X and a focus in Lactation Consultant.