Individual provider · Type 1 NPI
Thomas Tae I, ARNP
Psychiatric/Mental Health Nurse Practitioner · Los Angeles, CA
NPI number
1205308046
Active
Practice location
3530 Wilshire Blvd Ste 1200
Los Angeles, CA 90010-2343
Mailing address
12640 Double Eagle Dr
Mukilteo, WA 98275-5556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP95011784 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1205308046
Thomas Tae I, ARNP's National Provider Identifier is 1205308046, issued on Dec 18, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 11, 2023.