LIDIA WIERSUM
Nurse Practitioner - Gerontology
Active
Individual
NPI: 1558605071
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Gerontology | 363LG0600X | Yes | AP60321256 (WA) |
Frequently Asked Questions
NPI 1558605071 is the National Provider Identifier for LIDIA WIERSUM, a Nurse Practitioner - Gerontology provider located in Issaquah, WA. This NPI was enumerated on November 21, 2012.
LIDIA WIERSUM practices at 2445 270TH AVE SE, Issaquah, WA 98029.
Quick Facts
- NPI
- 1558605071
- Type
- Individual
- Enumerated
- Nov 21, 2012
- Last Updated
- Oct 9, 2020
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