Most Relevant Information
Provider Data
| NPI Number: | 1003597865 |
| Provider Name: | JENNIFER VIELHABER NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 61463110 |
Most Important Dates
| Enumeration Date: | 07/26/2023 |
| Last Updated: | 07/26/2023 |
Provider Practice Location
1679 ROCK CREEK RIDGE BLVD SW
NORTH BEND
WA
980459128
Practice Location Phone/Fax
| Phone: | 4199576981 |
| Fax: |
Provider Mailing Location
1679 ROCK CREEK RIDGE BLVD SW
NORTH BEND
WA
980459128
Provider Mailing Phone/Fax
| Phone: | 4199576981 |
| Fax: |