Individual provider · Type 1 NPI

Vienna Krumwiede

Medical Physician Assistant · Lakewood, WA

NPI number 1265225098 Active

Practice location

11411 Bridgeport Way SW
Lakewood, WA 98499-3047

Call (253) 581-9002 Map

Other practice locations

  • 630 N Fairview Dr, Tacoma, WA 98406-1015 · (253) 777-1423

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XPA.PA.61678730 (WA)
Medical Physician Assistant Primary 363AM0700XPA61678730 (WA)

Medical Physician Assistant: Definition to come...

14 other providers at this address

Other medical physician assistant providers in Lakewood

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About NPI 1265225098

Vienna Krumwiede's National Provider Identifier is 1265225098, issued on May 24, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lakewood, WA. The record was last updated on Jun 16, 2025.