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

Chelane R Fackenthall, ARNP

Individual provider Registered Nurse · NPI 1699000901

Chelane R Fackenthall, ARNP is a Nurse Practitioner in Walla Walla, Washington. Qualified in 2009, 17 years ago. Practices with Providence Health and Services - Washington, a 264-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
17
Licensed in
WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

301 W Poplar St Ste 100
Walla Walla, WA 99362-2858
Phone: (509) 522-5824
Fax: (509) 522-5738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP60111177 (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN00151745 (WA)

Record details

NPI number1699000901
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedOctober 5, 2009
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Providence Health And Services - Washington — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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