Fackenthall, Chelane R

Fackenthall, Chelane R is an individual health care provider with primary practice located at 301 W Poplar St Suite 100, Walla Walla WA 99362-2858. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fackenthall, Chelane R can be contacted via phone (509) 522-5824.

Contact Information

Primary practice address
301 W Poplar St Suite 100 Walla Walla WA 99362-2858
Phone: (509) 522-5824
Fax: (509) 522-5738
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00151745 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60111177 Washington

Profile Details

NPI number 1699000901
LBN Legal business name Fackenthall, Chelane R
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2009
Last updated May 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699000901 NPPES
Washington MEDICAID 1699000901
Washington MEDICAID 500616387

Popular Providers