Individual
CARLYN M LIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
22707 SE 29TH ST, SAMMAMISH, WA 98075-9532
(425) 455-2845
(425) 861-8602
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
(425) 455-2845
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP3000651
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9600149
—
WA
Enumeration date
10/25/2006
Last updated
02/17/2009
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