Individual provider · Type 1 NPI

Mark Hennecken, LPN

Licensed Practical Nurse · Milton, WA

NPI number 1811536717 Active · reactivated Sep 19, 2024

Practice location

7224 Pacific Hwy E.
Milton, WA 98354

Call (253) 220-6183 Map

Mailing address

8117 70th Ave SW
Lakewood, WA 98499-2009

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X60984646 (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 1811536717

Mark Hennecken, LPN's National Provider Identifier is 1811536717, issued on Dec 26, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Milton, WA. The record was last updated on Sep 19, 2024.