Heather Joleane Abercrombie

Individual provider Active NPI Licensed Practical Nurse · Liberty Lake, WA

NPI 1245041276 · NPPES record last updated Jan 17, 2025

Key facts

NPI
1245041276
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN61113269 (WA)
Practice address
22820 E Appleway Ave Ste a
Liberty Lake, WA 99019-5214
Phone
(509) 473-4900
NPI assigned
Jan 17, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPN61113269WAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN61113269 WA Yes

Addresses

Primary practice location

22820 E Appleway Ave Ste a
Liberty Lake, WA 99019-5214

Mailing address

22820 E Appleway Ave Ste a
Liberty Lake, WA 99019-5214
Phone (509) 473-4900

Other providers in Liberty Lake, WA

All providers in Liberty Lake, WA · Licensed Practical Nurse in Washington

Sources for this page

Verify at the official NPI Registry.