Walden, Renee Amelia

Walden, Renee Amelia is an sole proprietor health care provider with primary practice located at 560 Quick Rd , Castle Rock WA 98611-9324. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Walden, Renee Amelia can be contacted via phone (360) 274-6150.

Contact Information

Primary practice address
560 Quick Rd Castle Rock WA 98611-9324
Phone: (360) 274-6150
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X AP30005004 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 08201297N3 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30005004 Washington

Profile Details

NPI number 1245294602
LBN Legal business name Walden, Renee Amelia
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated Apr 19th, 2023 - about 3 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 1245294602 NPPES
Washington MEDICAID 9644634
Washington Other 6687WA
Washington Other 830346687-98611-A001
Washington Other 8940830
Washington Other 194936
Washington MEDICAID 210235

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