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Individual

ANNIE CHISHOLM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
510 W 1ST AVE, TOPPENISH, WA 98948-1564
(509) 865-5600
(509) 865-5783
Mailing address
510 W 1ST AVE, TOPPENISH, WA 98948-1564
(509) 865-5600
(509) 865-5783

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60583266
WA
363L00000X
Nurse Practitioner
RN60579730
WA
363LF0000X
Family Nurse Practitioner
NP95002294
CA

Other

Enumeration date
05/28/2015
Last updated
03/05/2018
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