| Eva Nystrom, Arnp, Pllc | |
|
1405 Se 164th Ave Suite 201 Vancouver WA 98683-9644 | |
| (360) 885-2200 | |
| (360) 885-1499 |
| Full Name | Eva Nystrom, Arnp, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 1405 Se 164th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Eva M Nystrom (OWNER,MEMBER) |
| Authorized Official Contact | 3608852200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eva Nystrom, Arnp, Pllc Po Box 848348 Boston MA 02284-8348 Ph: (360) 885-2200 | Eva Nystrom, Arnp, Pllc 1405 Se 164th Ave Suite 201 Vancouver WA 98683-9644 Ph: (360) 885-2200 |
| NPI Number | 1760555445 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760555445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AP30004316 (Washington) | Primary |
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