Theresa Marie Wardle, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN00069386 Issued in WA

Practice address

101 15TH St SW
Puyallup, WA 98371-5251

Phone

(253) 435-6831

Fax

(253) 840-8856

NPI assigned

Jan 28, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1356689244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 103RD STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983731188",
            "telephone_number": "253-848-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 15TH ST SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715251",
            "telephone_number": "253-435-6831",
            "fax_number": "253-840-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDLE",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WA",
            "license": "RN00069386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Mwaura Wanyoike
• David B Ward, PH.D.
• Laetitia Ward, PH.D.
• Samuel Wardell
• Balynda Gayle Warden
• Ricardo Ware
• Kurt Joseph Warkenthien, M.D.
• Debbi Warner Reed
• Jenna Christie Warner, LMP
• Joseph Warness, LMP

• School Registered Nurse in Puyallup, WA
• Providers in Puyallup, WA by specialty
• School Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.