Individual
JACQUELINE WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 174TH ST NE, MARYSVILLE, WA 98271-4743
(360) 454-1900
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(360) 454-1900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10022236
OR
363L00000X
Nurse Practitioner
Primary
AP61073449
WA
Other
Enumeration date
06/16/2020
Last updated
10/24/2025
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