Individual
KENDRA GIST-WITTHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7254
(360) 253-6019
Mailing address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7254
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60410445
WA
Other
Enumeration date
06/05/2017
Last updated
08/06/2025
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