Individual
GRACE A LAVALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1802 YAKIMA AVE STE 307, TACOMA, WA 98405-5305
(253) 627-1244
(253) 627-6576
Mailing address
1802 YAKIMA AVE STE 307, TACOMA, WA 98405-5305
(253) 627-1244
(253) 627-6576
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61512075
WA
363LA2100X
Acute Care Nurse Practitioner
RN269757
MA
363LG0600X
Gerontology Nurse Practitioner
AP61512075
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2284112
—
WA
Enumeration date
08/23/2017
Last updated
08/15/2024
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