Doctor Name: | BARBARA L KAPUSCINSKI |
NPI Number: | 1003832445 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP30004142 |
Business Practice Address: | 9040 Fitzsimmons Dr Tacoma, WA - 984311100 |
Business Phone Number: | 2539682751 |
Business Fax Number: | |
Mailing Address: | 4901 96th Ave W, UNIVERSITY PLACE |
State: | WA |
Postal Code: | 984671415 |
Phone Number: | 2535656684 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2006 |
NPI Last Update Date: | 04/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP30004142 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |