Individual
NICOLE RIEDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1700 13TH ST, EVERETT, WA 98201-1689
(253) 569-2019
Mailing address
22928 SE 406TH ST, ENUMCLAW, WA 98022-9024
(253) 569-4148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R242050
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
143870
MD
Other
Enumeration date
06/28/2021
Last updated
07/30/2023
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