MEDICARE: ESTENYS DELVALLE-LAVADA MSN ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP60552068PMHNP	WA
2	363LW0102X	Women's Health Nurse Practitioner	201504300NP-PP	OR
3	363LW0102X	Women's Health Nurse Practitioner	AP60552068	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841667631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTENYS DELVALLE-LAVADA MSN ARNP

Provider Business Mailing Address
First Line	:	5625 N WALL ST STE 100
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99205-6435
Country	:	US
Telephone Number	:	509-415-3507
Fax Number	:	857-270-7251

Provider Business Practice Location Address
First Line	:	5625 N WALL ST STE 100
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99205-6435
Country	:	US
Telephone Number	:	509-415-3507
Fax Number	:	857-270-7251

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2015
Last Update Date	:	12/23/2025

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