Alta Blanche Kendall
Nurse Practitioner - Neonatal
3900 Capital Mall Dr Sw
Olympia
, Washington 98502-8654
Alta Blanche Kendall
Nurse Practitioner - Neonatal
3900 Capital Mall Dr Sw
Olympia
, Washington 98502-8654
(253) 403-1686
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Alta Blanche Kendall
- 315 Martin Luther King Jr Way Tacoma General Hospital-Pediatrix Medical Group
- Tacoma, WA
- Zip : 98405-4234
- Fax : (253) 403-1686
- Phone : (253) 403-1019
Second Address
- Alta Blanche Kendall
- 3900 Capital Mall Dr Sw
- Olympia, WA
- Zip : 98502-8654
- Phone : (360) 704-4743
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | AP60289316 | WA |
National Provider Identifier
| NPI | 1104246388 |
|---|---|
| Provider Name | Alta Blanche Kendall |
| First Address | Tacoma, WA 98405-4234 |
| Second Address | Olympia, WA 98502-8654 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2014 |
| Last Update Date | 24/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.