Individual
MRS. KAYLEE L VANTREASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3810 KERN WAY STE B, YAKIMA, WA 98902
(509) 228-7237
(844) 315-7388
Mailing address
3810 KERN WAY STE B, YAKIMA, WA 98902-7805
(509) 228-7237
(844) 315-7388
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60971567
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60971567
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2134845
—
WA
Enumeration date
03/07/2012
Last updated
05/31/2023
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