Wagonblast, Aimee Therese

Wagonblast, Aimee Therese is an sole proprietor health care provider with primary practice located at 151 Ne Hampe Way Suite B2-6 , Chehalis WA 98532. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wagonblast, Aimee Therese can be contacted via phone (360) 748-3049.

Contact Information

Primary practice address
151 Ne Hampe Way Suite B2-6 Chehalis WA 98532
Phone: (360) 748-3049
Fax: (360) 748-2129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP30007079 Washington

Profile Details

NPI number 1992876478
LBN Legal business name Wagonblast, Aimee Therese
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Jun 21st, 2011 - about 15 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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