Lidia Wiersum
NPI #1558605071 in Issaquah, Washington
Provider Information
- NPI Number
- 1558605071
- Entity Type
- Individual
- Name
- Lidia Wiersum
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Nov 21, 2012
- Last Updated
- Oct 9, 2020
Practice Location
- Address
- 2445 270TH AVE SE
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98029-7901
- Phone
- (262) 748-5588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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