Provider Demographics
NPI:1619854312
Name:LE, CHRISTINE (FNP-C)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:LE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 YAKIMA VALLEY HWY STE 38
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:WA
Mailing Address - Zip Code:98944-1256
Mailing Address - Country:US
Mailing Address - Phone:253-951-1733
Mailing Address - Fax:
Practice Address - Street 1:2010 YAKIMA VALLEY HWY STE 38
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-1256
Practice Address - Country:US
Practice Address - Phone:253-951-1733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60097061163W00000X
WAAP.70041580363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse