Individual
DANIELLE DE LA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3775 MARTIN WAY E STE A, OLYMPIA, WA 98506-5007
(360) 236-7166
(360) 529-8070
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 330-9595
(360) 330-9560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61462577
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2256954
—
WA
Enumeration date
12/10/2019
Last updated
09/09/2025
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