Provider Demographics
NPI:1487679122
Name:TOMPKINS, TAWNYA ELAINE (ARNP)
Entity type:Individual
Prefix:MS
First Name:TAWNYA
Middle Name:ELAINE
Last Name:TOMPKINS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:TAWNYA
Other - Middle Name:ELAINE
Other - Last Name:HORSLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:501 S 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3550
Mailing Address - Country:US
Mailing Address - Phone:509-494-6700
Mailing Address - Fax:509-573-6275
Practice Address - Street 1:508 S 4TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3547
Practice Address - Country:US
Practice Address - Phone:509-574-6139
Practice Address - Fax:509-574-6138
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007391363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB38059Medicare Oscar/Certification
WAQ70479Medicare UPIN