Provider Demographics
NPI:1003864877
Name:LESTER, VIRGINIA CARMEN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:CARMEN
Last Name:LESTER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:C
Other - Last Name:LESTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:2030 BENSON RD
Mailing Address - Street 2:
Mailing Address - City:POINT ROBERTS
Mailing Address - State:WA
Mailing Address - Zip Code:98281-9206
Mailing Address - Country:US
Mailing Address - Phone:360-945-2580
Mailing Address - Fax:360-945-2980
Practice Address - Street 1:2030 BENSON RD
Practice Address - Street 2:
Practice Address - City:POINT ROBERTS
Practice Address - State:WA
Practice Address - Zip Code:98281-9206
Practice Address - Country:US
Practice Address - Phone:360-945-2580
Practice Address - Fax:360-945-2980
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003842363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9621848Medicaid
WA9621848Medicaid