Most Relevant Information
Provider Data
| NPI Number: | 1003650441 |
| Provider Name: | CHERIANNE RENAE THAYER LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LP61137553 |
Most Important Dates
| Enumeration Date: | 06/20/2024 |
| Last Updated: | 06/20/2024 |
Provider Practice Location
909 S 336TH ST STE 100
FEDERAL WAY
WA
980037394
Practice Location Phone/Fax
| Phone: | 2536615166 |
| Fax: |
Provider Mailing Location
909 S 336TH ST STE 100
FEDERAL WAY
WA
980037394
Provider Mailing Phone/Fax
| Phone: | 2536615166 |
| Fax: |