Individual
BRITTANIE K-LYN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
715 N PARK CTR, SELAH, WA 98942-1174
(509) 698-2624
Mailing address
804 S 5TH ST, SELAH, WA 98942-1670
(509) 654-3062
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP61370756
WA
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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