Chanel Pedersen

Licensed Practical Nurse · Joint Base Lewis McChord, WA

Individual Active NPI

NPI number 1154877645

Practice location

690 Barnes Blvd
Joint Base Lewis McChord, WA 98438-1303
Phone
(253) 982-5603

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NPI record

NPI
1154877645
Entity type
Individual (Type 1)
Enumeration date
August 25, 2016
Last updated
August 25, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X LP60474414 WA

About Chanel Pedersen

Chanel Pedersen is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 690 Barnes Blvd, Joint Base Lewis McChord, WA 98438-1303. The NPI number 1154877645 was assigned on August 25, 2016 and the record was last updated on August 25, 2016.

Chanel Pedersen lists a license in the registry: #LP60474414 (WA) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Chanel Pedersen?

The NPI number is 1154877645.

What is the phone number of Chanel Pedersen?

The phone number listed for the practice location is (253) 982-5603.

Where is Chanel Pedersen located?

690 Barnes Blvd, Joint Base Lewis McChord, WA 98438-1303.

What is the taxonomy code for Chanel Pedersen?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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