Individual
VALERIE B LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
800 N 5TH AVE STE 101, SEQUIM, WA 98382-3045
(360) 565-0999
(360) 582-4221
Mailing address
PO BOX 850, PORT ANGELES, WA 98362-0146
(360) 565-0999
(360) 582-4221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60265142
WA
363LF0000X
Family Nurse Practitioner
AP60265142
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2041265
—
WA
Enumeration date
08/14/2012
Last updated
07/06/2023
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