Provider Demographics
NPI:1013629310
Name:DO, TONY HIEU THANH (ARNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:TONY
Middle Name:HIEU THANH
Last Name:DO
Suffix:
Gender:M
Credentials:ARNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 S GRADY WAY STE 400
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-3246
Mailing Address - Country:US
Mailing Address - Phone:425-954-6409
Mailing Address - Fax:888-842-7681
Practice Address - Street 1:707 S GRADY WAY STE 400
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-3246
Practice Address - Country:US
Practice Address - Phone:425-954-6409
Practice Address - Fax:888-842-7681
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61388803363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily