Healthcare Provider Details

I. General information

NPI: 1427844505
Provider Name (Legal Business Name): VALARIE DENISE NDIFON LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2025
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2322 196TH ST SW
LYNNWOOD WA
98036-7010
US

IV. Provider business mailing address

2322 196TH ST SW
LYNNWOOD WA
98036-7010
US

V. Phone/Fax

Practice location:
  • Phone: 425-984-0788
  • Fax: 425-329-4640
Mailing address:
  • Phone: 425-672-7293
  • Fax: 425-329-4640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberLP00039721
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: