Individual
ILSE MARIE REICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13033 BELLEVUE REDMOND RD, SUITE 206, BELLEVUE, WA 98005-2633
(425) 454-1560
(425) 457-7107
Mailing address
23819 NE SALAL PL, REDMOND, WA 98053-6276
(425) 522-4826
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209-003344
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30006743
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550350
PROVIDER NUMBER
IL
Enumeration date
03/23/2007
Last updated
06/27/2008
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