Lawrence - Wallace, Raedelle Jeane
Lawrence - Wallace, Raedelle Jeane is an individual health care provider with primary practice located at 401 W Poplar St Cardiology Suite, Walla Walla WA 99362-2846. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lawrence - Wallace, Raedelle Jeane can be contacted via phone (509) 522-5731.Contact Information
Primary practice address
401 W Poplar St Cardiology Suite
Walla Walla WA 99362-2846
Phone: (509) 522-5731
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP30003980 | Washington |
Profile Details
| NPI number | 1538471453 |
|---|---|
| LBN Legal business name | Lawrence - Wallace, Raedelle Jeane |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2010 |
| Last updated | Jul 8th, 2010 - about 16 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.
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