Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK HENNECKEN, LPN
DeactivatedLicensed Practical Nurse · MILTON, WA
This NPI has been deactivated.
The record was deactivated on August 5, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1811536717
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 26, 2019 (4.6092896174863 yrs)
- Last Updated
- Sep 19, 2024
- Deactivated
- Aug 5, 2024
- License
-
60984646 (WA)
Practice Information
- Address
-
7224 PACIFIC HWY E.MILTON, WA, 98354Browse WA providers · Browse ZIP 98354
- Phone
- 2532206183
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in MILTON, WA
| Name | Credential | NPI |
|---|---|---|
| WINIFRED NANDAWULA | — | 1104380724 |
| KIM A LOVETT | — | 1821639485 |
| JOSEPH MONTERO | — | 1326686700 |
| ANGEL POWELL | — | 1568098028 |
| DAVID YEARWOOD | — | 1982227278 |
| MELODY JACKSON | LPN | 1821723974 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.