Provider Demographics
NPI:1326817545
Name:STANDLEY, ALIEC NICOLE (RMA, CPT, EMT-BLS)
Entity Type:Individual
Prefix:
First Name:ALIEC
Middle Name:NICOLE
Last Name:STANDLEY
Suffix:
Gender:F
Credentials:RMA, CPT, EMT-BLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3018 E N ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98404-4031
Mailing Address - Country:US
Mailing Address - Phone:253-754-2001
Mailing Address - Fax:
Practice Address - Street 1:3018 E N ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98404-4031
Practice Address - Country:US
Practice Address - Phone:253-754-2001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty