Provider Demographics
NPI:1245726470
Name:GUIER, TISHA D (RN BSN)
Entity type:Individual
Prefix:
First Name:TISHA
Middle Name:D
Last Name:GUIER
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18820 MERIDIAN E # 191
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98375-6209
Mailing Address - Country:US
Mailing Address - Phone:253-625-1336
Mailing Address - Fax:253-251-8442
Practice Address - Street 1:48501 138TH AVE E
Practice Address - Street 2:
Practice Address - City:EATONVILLE
Practice Address - State:WA
Practice Address - Zip Code:98328-7468
Practice Address - Country:US
Practice Address - Phone:509-833-1881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60202970163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management