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

Teegan Nicole Waltz

Individual provider Physician Assistant · NPI 1891411161

Teegan Nicole Waltz is a Physician Assistant in Centralia, Washington. Licensed in Washington. Registered with an NPI since 2022.

Licensed in
WA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

3510 Steelhammer Dr
Centralia, WA 98531-4551
Phone: (360) 623-8020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Physician Assistant Taxonomy 363A00000X (WA)

Record details

NPI number1891411161
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 18, 2022
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022

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