Provider Demographics
NPI:1548077944
Name:TABUNSCIC, YULIYA V (ARNP, FNP-C)
Entity type:Individual
Prefix:
First Name:YULIYA
Middle Name:V
Last Name:TABUNSCIC
Suffix:
Gender:F
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10210 B ST E
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98445-2064
Mailing Address - Country:US
Mailing Address - Phone:916-844-6012
Mailing Address - Fax:
Practice Address - Street 1:10210 B ST E
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98445-2064
Practice Address - Country:US
Practice Address - Phone:916-844-6012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61596005363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily