Provider Demographics
NPI:1265117709
Name:WALLIN, VICTORIA ZHANNA (DNP, ARNP, NP-C)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:ZHANNA
Last Name:WALLIN
Suffix:
Gender:F
Credentials:DNP, ARNP, NP-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6351 W RIO GRANDE AVE
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7634
Mailing Address - Country:US
Mailing Address - Phone:509-543-9280
Mailing Address - Fax:509-579-5915
Practice Address - Street 1:6351 W RIO GRANDE AVE
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7634
Practice Address - Country:US
Practice Address - Phone:509-543-9280
Practice Address - Fax:509-579-5915
Is Sole Proprietor?:No
Enumeration Date:2023-06-21
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAAP61468858363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner