Female

Dashiel Wham NP

Family Nurse Practitioner in Liberty Lake, WA(View on Map)

Full Name

Dashiel Wham NP

NPI Number

1760023469

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/03/2019

Specialties

(Taxonomies)

Code

363LF0000X

Primary Taxonomy

Yes

Licenses

State

Idaho
North Dakota
Washington

License Number

56675
R44211
AP61028233

Contact
Information

Purpose

Mailing
Location

Address

4111 S HENRY RD
1421 N MEADOWWOOD LN STE 30

City

Greenacres
Liberty Lake

State

WA
WA

Postal Code

99016-6006
99019-5037

Country

US
US

Telephone Number

(206) 557-8403
(509) 990-9470

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/04/2023

Provider Address

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