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CHANDA ANN WALL LICENSED NURSE
NPI 1407496847
Licensed Practical Nurse in Lakewood, WA

Active since January 14, 2020
9500 FRONT ST S STE 100, LAKEWOOD, WA 98499(253) 584-3996 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chanda Ann Wall Licensed Nurse NPPES

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

CHANDA ANN WALL LICENSED NURSE (NPI 1407496847) is an individual licensed practical nurse in Lakewood, Washington, licensed in Washington (61025157) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1407496847
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCHANDA ANN WALLCredential: LICENSED NURSE
Location Address9500 FRONT ST S STE 100Lakewood, WA 98499-9415
Mailing Address9500 Front St S Ste 100Lakewood, WA 98499-9415 · (253) 584-3996
Phone(253) 584-3996
Sole ProprietorYes
Enumeration DateJanuary 14, 2020
✔ NPI 1407496847 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 · 61025157
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.
9500 FRONT ST S STE 100, Lakewood, WA 98499
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Other Names 1

Former Name (1)Chanda Ann Walker

Other Identifiers 1

Medicaid164W00000XWA

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.

MS. MELODY CLARK CDPT
Counselor (Addiction (Substance Use Disorder))
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499
Pierce County (253) 584-3996
SIDNEY RHODES LPN
Licensed Practical Nurse
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499
Pierce County (253) 617-1177
MS. DARLENE UTZ
Counselor (Addiction (Substance Use Disorder))
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499
Pierce County (253) 393-2477
TESIA ELIZABETH STOKES SUDPT
Counselor (Addiction (Substance Use Disorder))
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499
Pierce County (253) 584-3996
SHEILA MARIE WIGGINS LPN
Licensed Practical Nurse
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499
Pierce County (253) 584-3996
JOSHUA RIVAS LCDC SUDP SUDPT
Counselor (Addiction (Substance Use Disorder))
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499
Pierce County (253) 393-2478
MARTHA BURGESS
Licensed Practical Nurse
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499
Pierce County (253) 584-3996
BAO DINH NGO LMHCA
Counselor (Mental Health)
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499
Pierce County (253) 584-3996

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 Chanda Wall's NPI number?

The NPI number for Chanda Wall is 1407496847. It was assigned to this individual provider in the NPPES registry on January 14, 2020. The provider is also known as Chanda Ann Walker.

Where is Chanda Wall located?

Chanda Wall practices at 9500 Front St S Ste 100, Lakewood, WA 98499. The listed phone number is (253) 584-3996.

What is Chanda 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 Chanda Wall was last updated on January 14, 2020. 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.