Healthcare Provider Details

I. General information

NPI: 1689292005
Provider Name (Legal Business Name): NORA ANN TUEFFEL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2020
Last Update Date: 08/19/2020
Certification Date: 08/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1803 N SOUND DR
SEDRO WOOLLEY WA
98284-7697
US

IV. Provider business mailing address

78 HONEYCOMB LN
BELLINGHAM WA
98229-7861
US

V. Phone/Fax

Practice location:
  • Phone: 360-854-7400
  • Fax:
Mailing address:
  • Phone: 480-363-6603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number60728673
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number60728673
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: