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Ethan Henry Wall, LPN
Licensed Practical Nurse in Wenatchee, Washington
NPI 1346899655

Ethan Henry Wall is a Licensed Practical Nurse based in Spokane Valley, WA. Ethan Henry Wall practices in Wenatchee, WA and has the professional credentials of LPN. The NPI Number for Ethan Henry Wall is 1346899655 and holds a License No. LP60979203 (Washington).

The current practice location address for Ethan Henry Wall is 1230 Monitor St, Wenatchee, WA and can be reached out via phone at 509-232-5766 and via fax at 509-321-5472. You can also correspond with Ethan Henry Wall through the mailing address at 12715 E MISSION AVE, SPOKANE VALLEY, WA - 99216-1027 (mailing address contact number: 509-232-5766).

Location: 1230 Monitor St, Wenatchee, WA, 99216-1027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346899655
Provider Name
Ethan Henry Wall
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
1230 Monitor St, Wenatchee, WA, 99216-1027
Phone Number
509-232-5766
Fax Number
509-321-5472
Provider Enumeration Date
09/09/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2077844 05 WA
institution
Provider Business Practice Location Address Details
Address
1230 Monitor St
City
Wenatchee
State
Washington
Zip
98801-3534
Phone Number
509-232-5766
Fax Number
509-321-5472
person
Provider Business Mailing Address Details
Address
1230 Monitor St
City
Wenatchee
State
Washington
Zip
98801-3534
Phone Number
509-232-5766
Fax Number
509-321-5472
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LP60979203 (Washington)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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