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NPI Code Detail

MEDICARE: JENNIFER VIELHABER NP

MEDICARE: JENNIFER VIELHABER NP
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 PractitionerAP61463110WA
2363LF0000XFamily Nurse PractitionerRN61400306WA

General Provider Information

NPI Number : 1003597865
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER VIELHABER NP
Provider Business Mailing Address
First Line : 7600 EVERGREEN WAY
Second Line :
City : EVERETT
State : WA
Zip : 98203-6421
Country : US
Telephone Number : 206-860-5414
Fax Number :
Provider Business Practice Location Address
First Line : 401 2ND ST
Second Line :
City : SNOHOMISH
State : WA
Zip : 98290-3008
Country : US
Telephone Number : 360-563-8600
Fax Number : 360-568-0103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2023
Last Update Date : 06/08/2026

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