Wald, Gina Lynn

Wald, Gina Lynn is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2310. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Wald, Gina Lynn can be contacted via phone (360) 414-2048.

Contact Information

Primary practice address
1615 Delaware St Longview WA 98632-2310
Phone: (360) 414-2048
Fax: (360) 575-6749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN00170658 Washington

Profile Details

NPI number 1881717866
LBN Legal business name Wald, Gina Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Nov 14th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881717866 NPPES
Washington Other 0223024 LABOR & INDUSTRIES
Washington Other RN597396 LABOR & INDUSTRIES
Washington Other 8944886 LABOR & INDUSTRIES
Washington Other RN00170658 LABOR & INDUSTRIES
Washington MEDICAID 9653361 LABOR & INDUSTRIES
Washington Other AP30007691 LABOR & INDUSTRIES

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