Individual
LISA MARIE WASICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1401 100TH ST NE, GRANITE FALLS, WA 98252-8643
(360) 691-7713
Mailing address
17723 126TH ST NE, ARLINGTON, WA 98223-7108
(360) 691-7717
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
60158097
WA
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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