Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mt Tahoma Developmental Pediatrics

Organization Pediatric Nurse Practitioner · NPI 1407708134

Mt Tahoma Developmental Pediatrics is a Pediatric Nurse Practitioner in University Pl, Washington. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2607 Bridgeport Way W Ste 2H1
University Pl, WA 98466-4725
Phone: (253) 282-8417
Fax: (949) 695-2203
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X

Record details

NPI number1407708134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anne Guion — Owner · (253) 282-8417
NPI enumeratedFebruary 13, 2026
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing address2607 Bridgeport Way W Ste 2h1, University Pl, WA 98466-4725