Organization · Type 2 NPI
Mt. Tahoma Developmental Pediatrics
Pediatric Nurse Practitioner · University Pl, WA
NPI number
1407708134
Active
Practice location
2607 Bridgeport Way W Ste 2H1
University Pl, WA 98466-4725
Fax (949) 695-2203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1407708134
Mt. Tahoma Developmental Pediatrics's National Provider Identifier is 1407708134, issued on Feb 13, 2026. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in University Pl, WA. The record was last updated on Feb 13, 2026.