Individual
LYNETTE M WACHHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4410 106TH ST SW, MUKILTEO, WA 98275-4700
(425) 388-6002
Mailing address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 258-3903
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30002206
WA
Other
Enumeration date
11/06/2006
Last updated
02/11/2011
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