| Ethan Henry Wall, LPN | |
|
1230 Monitor St, Wenatchee, WA 98801-3534 | |
| (509) 232-5766 | |
| (509) 321-5472 |
| Full Name | Ethan Henry Wall |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 1230 Monitor St, Wenatchee, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346899655 | NPI | - | NPPES |
| 2077844 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP60979203 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Henry Wall, LPN 12715 E Mission Ave, Spokane Valley, WA 99216-1027 Ph: (509) 232-5766 | Ethan Henry Wall, LPN 1230 Monitor St, Wenatchee, WA 98801-3534 Ph: (509) 232-5766 |
Stephen Williams, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1230 Monitor St, Wenatchee, WA 98801 Phone: 509-300-1221 | |
Andrea Paulina Munoz Vargas, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1320 Monitor St, Wenatchee, WA 98801 Phone: 509-300-1221 | |
Tricia Hopkins, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1230 Monitor St, Wenatchee, WA 98801 Phone: 509-300-1221 | |
Christa M Reid, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1230 Monitor St, Wenatchee, WA 98801 Phone: 509-300-1221 | |
Nikko Sprinkle, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 625 Okanogan Ave, Wenatchee, WA 98801 Phone: 509-663-1171 Fax: 509-662-2150 | |
Maria D Delarosa, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1230 Monitor St, Wenatchee, WA 98801 Phone: 509-300-1221 |