Individual
TRISHA LEEANN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
77 WAINWRIGHT DR, WALLA WALLA, WA 99362-3975
(509) 525-9031
Mailing address
77 WAINWRIGHT DR, WALLA WALLA, WA 99362-3975
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
RN00151029
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60904895
WA
Other
Enumeration date
09/05/2007
Last updated
10/15/2018
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