Individual provider · Type 1 NPI
Queliffuer Jireh Suyamin Tano, RN
Medical-Surgical Registered Nurse · Ritzville, WA
NPI number
1760296479
Active
Practice location
903 S Adams St.
Ritzville, WA 99169
Fax (509) 659-1832
Mailing address
104 E 2nd Ave, Apt 2
Ritzville, WA 99169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | RN61560128 (WA) |
Medical-Surgical Registered Nurse: Definition to come...
About NPI 1760296479
Queliffuer Jireh Suyamin Tano, RN's National Provider Identifier is 1760296479, issued on Feb 3, 2025. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Ritzville, WA. The record was last updated on Feb 3, 2025.