Individual
ANIESKA TIMMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 493-7044
Mailing address
4511 17TH AVE SE, LACEY, WA 98503-2639
(206) 694-3241
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN61002521
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN61002521
WASHINGTON STATE DEPT. OF HEALTH
WA
Enumeration date
11/07/2020
Last updated
11/07/2020
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