Individual
CHERYL J WAITKEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 486-6402
Mailing address
PO BOX 3380, PORTLAND, OR 97208-3380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006973
WA
Other
Enumeration date
10/05/2006
Last updated
04/28/2021
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