Provider Demographics
NPI:1407403058
Name:GIERMAN, JAMES LUCID
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LUCID
Last Name:GIERMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:PATRICK
Other - Last Name:BRADY
Other - Suffix:JR
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:750 REPUBLICAN ST FL 3
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-4766
Mailing Address - Country:US
Mailing Address - Phone:206-598-4882
Mailing Address - Fax:206-598-8664
Practice Address - Street 1:750 REPUBLICAN ST FL 3
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4766
Practice Address - Country:US
Practice Address - Phone:206-598-4882
Practice Address - Fax:206-598-8664
Is Sole Proprietor?:No
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60156947163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator