Provider Demographics
NPI:1427390806
Name:REFUERZO, AUREA (RND)
Entity type:Individual
Prefix:MRS
First Name:AUREA
Middle Name:
Last Name:REFUERZO
Suffix:
Gender:F
Credentials:RND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22605 22ND PL W
Mailing Address - Street 2:
Mailing Address - City:BRIER
Mailing Address - State:WA
Mailing Address - Zip Code:98036-8153
Mailing Address - Country:US
Mailing Address - Phone:425-774-4729
Mailing Address - Fax:
Practice Address - Street 1:22605 22ND PL W
Practice Address - Street 2:
Practice Address - City:BRIER
Practice Address - State:WA
Practice Address - Zip Code:98036-8153
Practice Address - Country:US
Practice Address - Phone:425-774-4729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-23
Last Update Date:2013-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN 00085313163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse