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Active NPI 1346899655 Individual Practitioner Male Practitioner

Ethan Henry Wall , LPN

Licensed Practical Nurse • Wenatchee, WA

Professional Overview & Biography Verified Profile Summary

Ethan Wall, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Wenatchee, WA. Practice services are available at 1230 MONITOR ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1230 Monitor St

Wenatchee, WA 988013534

Telephone 5092325766
Fax 5093215472
Associated Practice Facility / Clinic
🏢 Parkside Healthcare Llc Facility NPI 1457346512

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Wenatchee, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Wenatchee, WA (1730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LP60979203

An individual 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2077844 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
John Keel , MED, LMHC, LPC, LMFT

Counselor - Mental Health

NPI 1063978559

Master of Education, Licensed Mental Health Counselor, Licensed Professional Counselor, Licensed Marriage and Family Therapist

Sarah Phillips , CDPT, BS

Counselor - Addiction (Substance Use Disorder)

NPI 1083182349

CDPT, Bachelor of Science

Catherine Karras , CO

Counselor - Addiction (Substance Use Disorder)

NPI 1083301014

Certified Orthotist

NPI 1093287245
Rhonda Caines , LPN

Licensed Practical Nurse

NPI 1093340572

Licensed Practical Nurse

Michelle Welch , CDP

Counselor - Addiction (Substance Use Disorder)

NPI 1104395631

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 09, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 09, 2019

Registered at 1230 MONITOR ST, WENATCHEE, WA 988013534 (Tel: 5092325766)

📍
Updated Business Mailing Address September 09, 2019

Registered at 12715 E MISSION AVE, SPOKANE VALLEY, WA 992161027 (Tel: 5092325766)

👤
Provider Name / Credentials Updated September 09, 2019

Recorded as ETHAN WALL, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2019

Licensed Practical Nurse (License #LP60979203 in WA)

🟢
Initial NPI Registration & Enumeration September 09, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346899655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2019
Last Update: September 09, 2019
Sole Proprietor: No

Mailing Address

12715 E Mission Ave

Spokane Valley, WA 992161027

Phone: 5092325766

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.