Individual
LARENA LYNN WALSHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26458 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY, WA 98038-8350
(425) 690-3465
(425) 690-9465
Mailing address
3600 LIND AVE SW STE 100, RENTON, WA 98057-4970
(425) 228-3440
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60617033
WA
363LF0000X
Family Nurse Practitioner
AP60617033
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2050789
—
WA
Enumeration date
11/10/2015
Last updated
01/13/2024
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