Juanita Louise Nirider in Tacoma - Pediatrics
Juanita Louise Nirider - NPI 1679634653
Juanita Louise Nirider is a Pediatrics in Tacoma, Washington. Juanita Louise Nirider practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Juanita Louise Nirider is 1679634653. The last update date is 2007-07-09.
Juanita Louise Nirider's current location address is 4518 48 St Ct E, Tacoma, Washington. You can contact this provider via phone number 2538204008. The mailing address for Juanita Louise Nirider is 4518 48 St Ct E, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Juanita Louise Nirider |
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Address | 4518 48 St Ct E, Tacoma, Washington |
Phone Number | 2538204008 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PT |
NPI Number Detail
NPI Number | 1679634653 |
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Provider Enumeration Date | 2006-12-13 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 4518 48 St Ct E |
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City | Tacoma |
State | Washington (WA) |
Post Code | 984432568 |
Phone Number | 2538204008 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 2251P0200X |
Licence No | PT00003609 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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7125743 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Juanita Louise Nirider by the Centers for Medicare & Medicaid Services?
The Juanita Louise Nirider has been assigned the NPI (National Provider Identifier) 1679634653. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Juanita Louise Nirider is located?
The Juanita Louise Nirider is situated at the following address: 4518 48 St Ct E, Tacoma, WA, 984432568.
What is Juanita Louise Nirider's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Juanita Louise Nirider is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1679634653 to Juanita Louise Nirider?
The Centers for Medicare & Medicaid Services assigned the 1679634653 to Juanita Louise Nirider on 2006-12-13.
When was the information pertaining to Juanita Louise Nirider most recently updated or revised?
The details related to Juanita Louise Nirider, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.