Individual
ANNETTE LOUISE HEPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 E 1ST ST, ABERDEEN, WA 98520-4106
(360) 584-0050
Mailing address
210 W 2ND ST, ABERDEEN, WA 98520-3912
(702) 596-3115
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60234635
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164W00000
—
WA
Enumeration date
01/30/2019
Last updated
06/11/2019
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