Healthcare Provider Details
I. General information
NPI: 1841667631
Provider Name (Legal Business Name): ESTENYS DELVALLE-LAVADA MSN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/27/2015
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5625 N WALL ST STE 100
SPOKANE WA
99205-6435
US
IV. Provider business mailing address
5625 N WALL ST STE 100
SPOKANE WA
99205-6435
US
V. Phone/Fax
- Phone: 509-415-3507
- Fax: 857-270-7251
- Phone: 509-415-3507
- Fax: 857-270-7251
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | 201504300NP-PP |
| License Number State | OR |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | AP60552068PMHNP |
| License Number State | WA |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | AP60552068 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: