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Lidia Wiersum
Gerontology Nurse Practitioner in Issaquah, Washington
NPI 1558605071

Lidia Wiersum is a Gerontology Nurse Practitioner based in Issaquah, WA and is specialized in Gerontology. Lidia Wiersum practices in Issaquah, WA. The NPI Number for Lidia Wiersum is 1558605071 and holds a License No. AP60321256 (Washington).

The current practice location address for Lidia Wiersum is 2445 270Th Ave Se, Issaquah, WA and can be reached out via phone at 262-748-5588.

Location: 2445 270Th Ave Se, Issaquah, WA, 98029-7901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558605071
Provider Name
Lidia Wiersum
Credential
Provider Entity Type
Individual
Gender
Female
Address
2445 270Th Ave Se, Issaquah, WA, 98029-7901
Phone Number
262-748-5588
Fax Number
Provider Enumeration Date
11/21/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2445 270Th Ave Se
City
Issaquah
State
Washington
Zip
98029-7901
Phone Number
262-748-5588
Fax Number
person
Provider Business Mailing Address Details
Address
2445 270Th Ave Se
City
Issaquah
State
Washington
Zip
98029-7901
Phone Number
262-748-5588
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
AP60321256 (Washington)
Definition
Definition to come...
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