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Walter William Coburn I
Licensed Practical Nurse in Sedro Woolley, Washington
NPI 1477259927

Walter William Coburn I is a Licensed Practical Nurse based in Mount Vernon, WA. Walter William Coburn I practices in Sedro Woolley, WA. The NPI Number for Walter William Coburn I is 1477259927 and holds a License No. LP60342552 (Washington).

The current practice location address for Walter William Coburn I is 1960 Thompson Dr, Sedro Woolley, WA and can be reached out via phone at 360-856-3186.

Location: 1960 Thompson Dr, Sedro Woolley, WA, 98274-5020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477259927
Provider Name
Walter William Coburn I
Credential
Provider Entity Type
Individual
Gender
Male
Address
1960 Thompson Dr, Sedro Woolley, WA, 98274-5020
Phone Number
360-856-3186
Fax Number
Provider Enumeration Date
02/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1960 Thompson Dr
City
Sedro Woolley
State
Washington
Zip
98284-5007
Phone Number
360-856-3186
Fax Number
person
Provider Business Mailing Address Details
Address
1960 Thompson Dr
City
Sedro Woolley
State
Washington
Zip
98284-5007
Phone Number
360-856-3186
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LP60342552 (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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