Individual
LYNETTE VICTORIA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
51781 HUNTINGTON RD, LA PINE, OR 97739-1118
(541) 907-7040
(541) 907-7059
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN001106896
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60296830
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0417847
LABOR AND INDUSTRIES
WA
05
—
2021778
—
WA
01
—
AP60296830
ARNP LICENSE
WA
01
—
RN00106896
RN LICENSE
WA
Enumeration date
04/13/2012
Last updated
11/02/2023
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