Individual provider · Type 1 NPI

Aimee Therese Wagonblast, ARNP

Psychiatric/Mental Health Nurse Practitioner · Chehalis, WA

NPI number 1992876478 Active

Practice location

151 NE Hampe Way Suite B2-6
Chehalis, WA 98532

Call (360) 748-3049 Map

Fax (360) 748-2129

Mailing address

516 Sandalwood Dr SW
Olympia, WA 98502

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP30007079 (WA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1992876478

Aimee Therese Wagonblast, ARNP's National Provider Identifier is 1992876478, issued on Nov 13, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chehalis, WA. The record was last updated on Jun 21, 2011.