Doctor Name: | MS. ELAINE CONSANDINE PICHETTE |
NPI Number: | 1073628640 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP30007375 |
Business Practice Address: | 1000 Kresky Ave Suite G Centralia, WA - 985313700 |
Business Phone Number: | 3605280563 |
Business Fax Number: | 3608587047 |
Mailing Address: | 1000 Kresky Ave, Suite G CENTRALIA |
State: | WA |
Postal Code: | 985313700 |
Phone Number: | 3605280563 |
Fax Number: | 3608587047 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 06/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | AP30007375 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |