This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / WA
NURSE PRACTITIONER
Graduated: 2023
NPI: 1790547693
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
1111 S 2ND AVE
WALLA WALL, WA 993624118
5098973700
Source: CMS National Downloadable File, September 2026.