Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LIDIA WIERSUM
Active Sole ProprietorLIDIA WIERSUM is a Gerontological Nurse Practitioner healthcare provider located in ISSAQUAH, Washington. NPI 1558605071 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · ISSAQUAH, WA
Registration Details
- NPI Number
- 1558605071
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 21, 2012 (13.685592884808 yrs)
- Last Updated
- Oct 9, 2020
- License
-
AP60321256 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2445 270TH AVE SEISSAQUAH, WA, 980297901Browse WA providers · Browse ZIP 98029
- Phone
- 2627485588
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Other Gerontological Nurse Practitioner Providers in ISSAQUAH, WA
| Name | Credential | NPI |
|---|---|---|
| SHAILY ARYA | ARNP | 1124364906 |
| SOK WAI GUO | — | 1336861541 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.