Individual provider · Type 1 NPI

Sereyrath Lim, NP

Nurse Practitioner · Longview, WA

NPI number 1407618754 Active

Practice location

1057 12th Ave
Longview, WA 98632-2509

Fax (360) 414-1342

Mailing address

2425 31st Ave SW Unit B
Puyallup, WA 98373-4012

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP61521919 (WA)
Nurse Practitioner Primary 363L00000XAP61521919 (WA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1407618754

Sereyrath Lim, NP's National Provider Identifier is 1407618754, issued on Jan 23, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Longview, WA. The record was last updated on Jul 22, 2026.