Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chanda Ann Wall, LICENSEDNURSE

Individual provider Licensed Practical Nurse · NPI 1407496847

Chanda Ann Wall, LICENSEDNURSE is a Licensed Practical Nurse in Lakewood, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2020
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Practice location Address checks out

9500 Frnt ST S Ste 100
Lakewood, WA 98499-9415
Phone: (253) 584-3996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 61025157 (WA)

Record details

NPI number1407496847
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICENSEDNURSE
Sole proprietorYes
NPI enumeratedJanuary 14, 2020
Last updated in NPPESJanuary 14, 2020
Certification dateJanuary 14, 2020
Mailing address9500 Front St S Ste 100, Lakewood, WA 98499-9415

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