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Mrs. Annie Elizabeth Tiedeman, LMP
Specialist in Leavenworth, Washington
NPI 1578763967

Annie Elizabeth Tiedeman is a Specialist based in Leavenworth, WA. Annie Elizabeth Tiedeman practices in Leavenworth, WA and has the professional credentials of LMP. The NPI Number for Annie Elizabeth Tiedeman is 1578763967 and holds a License No. MA00024507 (Washington).

The current practice location address for Annie Elizabeth Tiedeman is 11779 Highway 2, Leavenworth, WA and can be reached out via phone at 509-548-6130. You can also correspond with Annie Elizabeth Tiedeman through the mailing address at 10802 EAGLE CREEK RD, LEAVENWORTH, WA - 98826-9116 (mailing address contact number: 509-548-1531).

Location: 11779 Highway 2, Leavenworth, WA, 98826-9116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578763967
Provider Name
Annie Elizabeth Tiedeman
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
11779 Highway 2, Leavenworth, WA, 98826-9116
Phone Number
509-548-6130
Fax Number
Provider Enumeration Date
07/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11779 Highway 2
City
Leavenworth
State
Washington
Zip
98826-1362
Phone Number
509-548-6130
Fax Number
person
Provider Business Mailing Address Details
Address
11779 Highway 2
City
Leavenworth
State
Washington
Zip
98826-1362
Phone Number
509-548-6130
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00024507 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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