Individual provider · Type 1 NPI

Ethan Henry Wall, LPN

Licensed Practical Nurse · Wenatchee, WA

NPI number 1346899655 Active

Practice location

1230 Monitor St
Wenatchee, WA 98801-3534

Call (509) 232-5766 Map

Fax (509) 321-5472

Mailing address

12715 E Mission Ave
Spokane Valley, WA 99216-1027

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP60979203 (WA)

Licensed Practical Nurse: 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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About NPI 1346899655

Ethan Henry Wall, LPN's National Provider Identifier is 1346899655, issued on Sep 9, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Wenatchee, WA. The record was last updated on Sep 9, 2019.