Denice C Acheson, LPN
Individual provider Active NPI Licensed Practical Nurse · Chehalis, WA
NPI 1417580010 · NPPES record last updated Feb 21, 2020
Key facts
- NPI
- 1417580010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LP00036269 (WA)
- Practice address
- 500 SE Washington Ave
Chehalis, WA 98532-3058 - Phone
- (360) 748-4776
- NPI assigned
- Feb 21, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP00036269 | WA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP00036269 | WA | Yes |
Addresses
Primary practice location
500 SE Washington Ave
Chehalis, WA 98532-3058
Mailing address
500 SE Washington Ave
Chehalis, WA 98532-3058
Phone (360) 748-4776
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2077844 | Medicaid | WA |
Other providers in Chehalis, WA
- A New Hearing Solution
- A Solace Place
- Abhs Speciality Services 2 LLC
- Troy Achord
- Jeanne M Adams
- Advanced Hearing and Speech Inc
- Jonathan Richard Akers
- Margaret Akesson
All providers in Chehalis, WA · Licensed Practical Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.