Individual
MS. LIANA REN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5701 NE BOTHELL WAY STE 4, KENMORE, WA 98028-9400
(425) 835-2363
(425) 368-7634
Mailing address
5701 NE BOTHELL WAY STE 4, KENMORE, WA 98028-9400
(425) 835-2363
(425) 368-7634
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60402981
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942273164
—
WA
Enumeration date
02/08/2006
Last updated
10/25/2021
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