Healthcare Provider Details

I. General information

NPI: 1255065181
Provider Name (Legal Business Name): REBECCA MARIE CHIEFFE DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2022
Last Update Date: 07/03/2024
Certification Date: 07/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 MARTIN LUTHER KING JR WAY
TACOMA WA
98405-4234
US

IV. Provider business mailing address

3209 N MONROE ST
TACOMA WA
98407-5423
US

V. Phone/Fax

Practice location:
  • Phone: 253-403-1400
  • Fax:
Mailing address:
  • Phone: 530-356-0060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN2363205
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN2363205
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: