Individual
EVELYN NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9600 VETERANS DR, TACOMA, WA 98498
(253) 582-8440
Mailing address
5215 56TH AVE SE, LACEY, WA 98503-9006
(254) 630-4483
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60303196
WA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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