LIESEL TOWER


Address: 1785 Blacktail Ln, Woodland, WA 98674-9108
Phone: 2695478704

LIESEL TOWER (NPI# 1881053320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881053320
Entity Type Individual
Full Name LIESEL TOWER
Credential NP
Practice Address 1785 Blacktail Ln
Woodland
WA 98674-9108
Practice Telephone 2695478704
Mailing Telephone 2695478704
Enumeration Date 2016-02-12
Last Update Date 2020-08-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
AP60740474 WA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1057 12th Ave, Longview, WA 98632 3606363892 3604141342

Office Location

Street Address 1785 BLACKTAIL LN
City WOODLAND
State WA
Zip Code 98674-9108

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NPI Name Taxonomy Address Enumeration
1790328409 Susan E Van Skike Social Worker 38503 Nw Goose Hill Avenue, Woodland, WA 98674 2019-10-25
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1972977577 Kelsey Ann Miller Speech-Language Pathologist 800 Second Street Wsd Special Service, Woodland, WA 98674 2015-11-19
1598194482 Elizabeth Grendahl Massage Therapist 1227-h North Goerig, Woodland, WA 98674 2013-11-01
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1417161555 Jack L Vandyke Dentist 640 Georig St, Woodland, WA 98674 2007-05-09
1619934007 Pearson Medical Clinic Pllc Internal Medicine 527 2nd Street, Woodland, WA 98674 2006-04-28
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124264239 Heather Ann Robrecht Kelly Nurse Practitioner 632 W. Gibson Road, Woodland, CA 95695 2008-12-18

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NPI Name Taxonomy Address Enumeration
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1841835782 Toni M Keel Nurse Practitioner 11120 Ne 33rd Pl Ste 202, Bellevue, WA 98004-1444 2019-11-14
1821642026 Elizabeth Nicole Firmin Nurse Practitioner 317 Ne Thornton Pl, Seattle, WA 98125-8020 2019-07-26
1841852043 Mariana S Neeway Nurse Practitioner 112 Columbia Point Dr Ste 101, Richland, WA 99352-4390 2019-07-08
1023575172 Amber Elexis Marsh Nurse Practitioner 1100 Goethals Dr Ste E2nd, Richland, WA 99352-3300 2019-02-25
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1679041404 Cara Ann Lundin Nurse Practitioner 11926 43rd St Crt E, Edgewood, WA 98372 2018-11-09
1518434158 Deborah Christine Tillman Nurse Practitioner 1064 Sommerville Rd., Chimacum, WA 98325 2018-11-01
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Competitor

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City WOODLAND
Zip Code 98674

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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