Individual
VIVIAN NINA VANDERSCHELDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1230 MONITOR ST, WENATCHEE, WA 98801-3534
(509) 300-1221
(509) 663-4637
Mailing address
17195 S LAKESHORE RD, CHELAN, WA 98816-9224
(509) 590-0289
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LP00058965
WA
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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