Individual
DOROTHY SUZANNE PIANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4033 TALBOT RD S, SUITE 500, RENTON, WA 98055-5772
(425) 251-5110
(425) 793-7382
Mailing address
PO BOX 59028, RENTON, WA 98058-2028
(425) 251-5110
(425) 793-7458
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30007206
WA
363LF0000X
Family Nurse Practitioner
AP30007206
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0242193
L&I
WA
01
—
9514PI
REGENCE
WA
05
—
9659889
—
WA
01
—
P00676398
MED RAILROAD
WA
Enumeration date
03/12/2007
Last updated
05/19/2010
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