Individual
VIVIAN G WEYERHAEUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60993249
WA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
AP60993249
WA
Other
Enumeration date
07/11/2019
Last updated
07/11/2023
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