Annie Elizabeth Tiedeman in Leavenworth - Specialist
Annie Elizabeth Tiedeman - NPI 1578763967
Annie Elizabeth Tiedeman is a Specialist in Leavenworth, Washington. Annie Elizabeth Tiedeman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Annie Elizabeth Tiedeman is 1578763967. The last update date is 2007-07-23.
Annie Elizabeth Tiedeman's current location address is 11779 Highway 2, Leavenworth, Washington. You can contact this provider via phone number 5095486130. The mailing address for Annie Elizabeth Tiedeman is 11779 Highway 2, Leavenworth, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Annie Elizabeth Tiedeman |
|---|---|
| Address | 11779 Highway 2, Leavenworth, Washington |
| Phone Number | 5095486130 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1578763967 |
|---|---|
| Provider Enumeration Date | 2007-07-23 |
| Last Updated Date | 2007-07-23 |
Provider Mailing Address Detail
| Address | 11779 Highway 2 |
|---|---|
| City | Leavenworth |
| State | Washington (WA) |
| Post Code | 988261362 |
| Phone Number | 5095486130 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MA00024507 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code assigned to Annie Elizabeth Tiedeman by the Centers for Medicare & Medicaid Services?
The Annie Elizabeth Tiedeman has been issued the NPI (National Provider Identifier) 1578763967 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Annie Elizabeth Tiedeman?
The Annie Elizabeth Tiedeman is situated at 11779 Highway 2, in the city of Leavenworth, state of WA, with the zip code 988261362.
What is Annie Elizabeth Tiedeman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Annie Elizabeth Tiedeman is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578763967 to Annie Elizabeth Tiedeman?
The Centers for Medicare & Medicaid Services originally issued the 1578763967 to Annie Elizabeth Tiedeman on 2007-07-23.
As of what date were the Annie Elizabeth Tiedeman's details last updated?
The information pertaining to the Annie Elizabeth Tiedeman, including its address, specialty, and other details, was most recently updated on 2007-07-23.
NPI Number: 1548255375
Address: 167 N Spencer Rd, Spencer, MA