Individual
CHRISTINA HENNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, DNP
Contact information
Practice address
2525 NE 139TH ST, VANCOUVER, WA 98686-2719
(360) 882-2778
Mailing address
2525 NE 139TH ST, VANCOUVER, WA 98686-2719
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201341566RN
OR
163W00000X
Registered Nurse
RN61424003
WA
363LF0000X
Family Nurse Practitioner
Primary
AP70007852
WA
Other
Enumeration date
05/19/2025
Last updated
06/03/2025
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