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Individual

THIDARAT RIEWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 251-5165
(425) 656-4028
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
AP60966051
WA
363L00000X
Nurse Practitioner
Primary
AP60966051
WA
363LA2200X
Adult Health Nurse Practitioner
AP60966051
WA

Other

Enumeration date
06/24/2019
Last updated
04/06/2022
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