Individual
MRS. DIANNE JANETTE WOLTERSTORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
402 S 12TH AVE, YAKIMA, WA 98902-3115
(509) 573-2598
(509) 452-5224
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 853-1082
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30003419
WA
363LS0200X
School Nurse Practitioner
AP30003149
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1044528
—
WA
Enumeration date
02/27/2007
Last updated
10/25/2019
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