Individual provider · Type 1 NPI

Trinity Anne Tiedeman

Student in an Organized Health Care Education/Training Program · Puyallup, WA

NPI number 1639762750 Active

Practice location

436 20th St NW
Puyallup, WA 98371-5102

Call (253) 677-7751 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639762750

Trinity Anne Tiedeman's National Provider Identifier is 1639762750, issued on Feb 19, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Puyallup, WA. The record was last updated on Feb 19, 2021.