Individual
MISS NGA THIEN LIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4739 1/2 RAINIER AVE SOUTH, SEATTLE, WA 98118-1657
(206) 725-0119
(206) 725-8829
Mailing address
4739 1/2 RAINIER AVE S, SEATTLE, WA 98118-1657
(206) 725-0119
(206) 725-8829
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30005715
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9664624
—
WA
01
—
G8889358
MEDICARE PTAN
WA
Enumeration date
11/03/2006
Last updated
03/07/2023
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