Chelane R Fackenthall, ARNP
NPI #1699000901 in Walla Walla, Washington
Provider Information
- NPI Number
- 1699000901
- Entity Type
- Individual
- Name
- Chelane R Fackenthall, ARNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- ARNP
- Enumeration Date
- Oct 5, 2009
- Last Updated
- May 18, 2021
Practice Location
- Address
- 301 W POPLAR ST
- Address 2
- SUITE 100
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-2858
- Phone
- (509) 522-5824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner |
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