Individual
MRS. CHERYL ROSE LIENESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 656-5525
(425) 656-4228
Mailing address
PO BOX 430, AUBURN, WA 98071-0430
(425) 656-5525
(425) 656-4228
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP30003025
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9612029
—
WA
Enumeration date
10/20/2006
Last updated
07/08/2007
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