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NPI Code Detail

MEDICARE: MISS NGA THIEN LIEU ARNP

MEDICARE:  MISS NGA THIEN LIEU  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP30005715WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2G8889358OTHERWAMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144309972
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS NGA THIEN LIEU ARNP
Provider Business Mailing Address
First Line : 4739 1/2 RAINIER AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98118-1657
Country : US
Telephone Number : 206-725-0119
Fax Number : 206-725-8829
Provider Business Practice Location Address
First Line : 4739 1/2 RAINIER AVE SOUTH
Second Line :
City : SEATTLE
State : WA
Zip : 98118-1657
Country : US
Telephone Number : 206-725-0119
Fax Number : 206-725-8829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2006
Last Update Date : 03/07/2023

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Directions to “ MISS NGA THIEN LIEU ARNP” Practice Location

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