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Chanda Ann Wall, LICENSEDNURSE
Licensed Practical Nurse in Lakewood, Washington
NPI 1407496847

Chanda Ann Wall is a Licensed Practical Nurse based in Lakewood, WA. Chanda Ann Wall practices in Lakewood, WA and has the professional credentials of LICENSEDNURSE. The NPI Number for Chanda Ann Wall is 1407496847 and holds a License No. 61025157 (Washington).

The current practice location address for Chanda Ann Wall is 9500 Front St S Ste 100, Lakewood, WA and can be reached out via phone at 253-584-3996.

Location: 9500 Front St S Ste 100, Lakewood, WA, 98499-9415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407496847
Provider Name
Chanda Ann Wall
Credential
LICENSEDNURSE
Provider Entity Type
Individual
Gender
Female
Address
9500 Front St S Ste 100, Lakewood, WA, 98499-9415
Phone Number
253-584-3996
Fax Number
Provider Enumeration Date
01/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164W00000X 05 WA
institution
Provider Business Practice Location Address Details
Address
9500 Front St S Ste 100
City
Lakewood
State
Washington
Zip
98499-9415
Phone Number
253-584-3996
Fax Number
person
Provider Business Mailing Address Details
Address
9500 Front St S Ste 100
City
Lakewood
State
Washington
Zip
98499-9415
Phone Number
253-584-3996
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
61025157 (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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