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ETHAN HENRY WALL LPN
NPI 1346899655
Licensed Practical Nurse in Wenatchee, WA

Active since September 09, 2019
1230 MONITOR ST, WENATCHEE, WA 98801(509) 232-5766(509) 321-5472 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan Henry Wall Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN HENRY WALL LPN (NPI 1346899655) is an individual licensed practical nurse in Wenatchee, Washington, licensed in Washington (LP60979203) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1346899655
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameETHAN HENRY WALLCredential: LPN
Location Address1230 MONITOR STWenatchee, WA 98801-3534
Mailing Address12715 E Mission AveSpokane Valley, WA 99216-1027 · (509) 232-5766
Phone(509) 232-5766
Fax(509) 321-5472
Sole ProprietorNo
Enumeration DateSeptember 9, 2019
✔ NPI 1346899655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WA · LP60979203
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1230 MONITOR ST, Wenatchee, WA 98801
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Other Identifiers 1

Medicaid2077844WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLA M HOUCK CNA
Nurse's Aide
1230 MONITOR ST
WENATCHEE, WA 98801
Chelan County (509) 300-1221
LIONEL BARAJAS PALOMINO LICSWA
Social Worker
1230 MONITOR ST
WENATCHEE, WA 98801
Chelan County (509) 300-1221
MARIANNA ELIZABETH CONNER
Nurse's Aide
1230 MONITOR ST
WENATCHEE, WA 98801
Chelan County (509) 300-1221
KELLY MAE SMITH COSTELLO
Counselor (Mental Health)
1230 MONITOR ST
WENATCHEE, WA 98801
Chelan County (509) 300-1221
JULIE L SIMMONS RN
Registered Nurse (Addiction (Substance Use Disorder))
1230 MONITOR ST
WENATCHEE, WA 98801
Chelan County (509) 300-1221
SILVESTRE VARGAS JR.
Technician, Other
1230 MONITOR ST
WENATCHEE, WA 98801
Chelan County (509) 300-1221
STEPHEN WILLIAMS CRNA
Nurse Anesthetist, Certified Registered
1230 MONITOR ST
WENATCHEE, WA 98801
Chelan County (509) 300-1221
AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.
Substance Abuse Rehabilitation Facility
1230 MONITOR ST
WENATCHEE, WA 98801
Chelan County (509) 300-1221

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Wall's NPI number?

The NPI number for Ethan Wall is 1346899655. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Where is Ethan Wall located?

Ethan Wall practices at 1230 Monitor St, Wenatchee, WA 98801. The listed phone number is (509) 232-5766.

What is Ethan Wall's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Ethan Wall was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.