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Contact Information

SANDRA BENAVIDES VAELLO, APRN, FNP
915 WISCONSIN AVE
TIETON, WA98947-9802
 Phone: 509-673-0044
 Fax: 509-452-5224
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SANDRA BENAVIDES VAELLO · (Female)

NPI Number 1265100481
Status Active
Credentials APRN, FNP
Entity Individual
Enumeration date 09/01/2021
Last updated 07/17/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WA License # AP61315689
  • WA Medicaid 2224325
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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