Individual
MS. KINDRA THERESA SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
650 N DEVINE RD STE B, VANCOUVER, WA 98661-6979
(360) 952-4457
(360) 828-7409
Mailing address
18 NW 20TH AVE, BATTLE GROUND, WA 98604-4175
(360) 952-4457
(360) 828-7409
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201141805RN
OR
363LF0000X
Family Nurse Practitioner
201391900NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
AP61243692
WA
Other
Enumeration date
07/11/2011
Last updated
12/10/2025
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