Individual provider · Type 1 NPI

Chelane R. Fackenthall, ARNP

Nurse Practitioner · Walla Walla, WA

NPI number 1699000901 Active

Practice location

301 W Poplar St, Suite 100
Walla Walla, WA 99362-2858

Call (509) 522-5824 Map

Fax (509) 522-5738

Mailing address

PO Box 34439
Seattle, WA 98124-1439

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN00151745 (WA)
Nurse Practitioner Primary 363L00000XAP60111177 (WA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1699000901

Chelane R. Fackenthall, ARNP's National Provider Identifier is 1699000901, issued on Oct 5, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Walla Walla, WA. The record was last updated on May 18, 2021.