Individual
MRS. TIGIST EMIRU SEYOUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AG ACNP
Contact information
Practice address
834 SW 361ST ST, FEDERAL WAY, WA 98023-7290
(206) 859-7903
Mailing address
834 SW 361ST ST, FEDERAL WAY, WA 98023-7290
(206) 859-7903
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61298660
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AP61298660
—
WA
Enumeration date
05/13/2022
Last updated
05/13/2022
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