Idalis Amadaley Licea
Idalis Amadaley Licea is an Ambulatory Care Registered Nurse in Prosser, Washington. Licensed in Washington. Registered with an NPI since 2026.
- Licensed in
- WA
- In the registry since
- 2026
Practice location Address checks out
326 Chardonnay AveProsser, WA 99350-9515
Phone: (509) 786-1576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Care Registered Nurse (primary) | Taxonomy 163WP2201X · Licence 61382393 (WA) |
|---|
Record details
| NPI number | 1407789001 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 4, 2026 |
| Last updated in NPPES | June 4, 2026 |
| Certification date | June 4, 2026 |
| Mailing address | 1611 Diamond Ave, Grandview, WA 98930-6118 |