Individual
MS. BETHANY ANNE KRIEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1911 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-6778
(360) 736-6552
Mailing address
1911 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-6778
(360) 736-6552
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP2888
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60086265
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200740904RN
RN LICENSE
OR
01
—
60090952
RN LICENSURE
WA
01
—
60091214
PNP LICENSE
WA
01
—
AP2888
PNP LICENSE
AZ
01
—
RN0000157377
RN LICENSE
TN
01
—
RN148694
RN LICENSE
AZ
Enumeration date
04/29/2008
Last updated
09/02/2011
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