Individual
KIIRA M TIETJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP ARNP PMHNP
Contact information
Practice address
140 S ARTHUR ST STE 506, SPOKANE, WA 99202-2260
(509) 934-0245
Mailing address
20006 E KNOX CT, LIBERTY LAKE, WA 99016-9222
(509) 953-6381
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60658033
WA
Other
Enumeration date
10/05/2016
Last updated
08/31/2024
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