Healthcare Provider Details

I. General information

NPI: 1386824266
Provider Name (Legal Business Name): CHEYNEY WEBB LINDGREN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHEYNEY WEBB RN

II. Dates (important events)

Enumeration Date: 11/08/2007
Last Update Date: 03/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1044 11TH AVE
LONGVIEW WA
98632-2506
US

IV. Provider business mailing address

PO BOX 2429
LONGVIEW WA
98632-8486
US

V. Phone/Fax

Practice location:
  • Phone: 360-575-8275
  • Fax: 360-575-1950
Mailing address:
  • Phone: 360-575-8275
  • Fax: 360-575-1950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60502432
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: