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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAMMIE DIANE CLARK, LPN

Active Sole Proprietor

TAMMIE DIANE CLARK, LPN is a Licensed Practical Nurse healthcare provider located in EDGEWOOD, Washington. NPI 1396638748 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · EDGEWOOD, WA

Registration Details

NPI Number
1396638748
Provider Type
Individual
Gender
Female
NPI Issued
Jun 2, 2025 (1.1923978367867 yrs)
Last Updated
Jun 2, 2025
License
LP00049051 (WA)
Sole Proprietor
Yes

Practice Information

Address
9324 TAYLOR ST E
EDGEWOOD, WA, 983711249
Browse WA providers · Browse ZIP 98371
Phone
7709102743
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in EDGEWOOD, WA

Name Credential NPI
OCTAVIA DANIELLE GRAVES 1285418145
ERCIA DEVAUX LPN 1801668637
SHERI MARTIN 1851166219
GUADALUPE CARRILLO GUZMAN 1538938295
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.