Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TETYANA MCILVAINE, DO
ActiveTETYANA MCILVAINE, DO is a Gastroenterology healthcare provider located in SILVERDALE, Washington. NPI 1033645684 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · SILVERDALE, WA
Registration Details
- NPI Number
- 1033645684
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2017 (9.317273085434 yrs)
- Last Updated
- Jul 9, 2021
- License
-
DOS1935 (HI)
Practice Information
- Address
-
9177 RIDGETOP BLVD NWSILVERDALE, WA, 983838519Browse WA providers · Browse ZIP 98383
- Phone
- 3603076961
- Primary Specialty
-
Gastroenterology
207RG0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.