Healthcare Provider Details

I. General information

NPI: 1013196955
Provider Name (Legal Business Name): CLAUDIA JEAN WIEGER REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2007
Last Update Date: 10/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 VETERAN DRIVE
TACOMA WA
98493-0001
US

IV. Provider business mailing address

8701 49TH ST W
UNIVERSITY PLACE WA
98467-1705
US

V. Phone/Fax

Practice location:
  • Phone: 253-583-1213
  • Fax:
Mailing address:
  • Phone: 253-566-8885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0400X
TaxonomyRehabilitation Registered Nurse
License NumberRN00105186
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: