Individual
BRIAN D NYGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6703 W RIO GRANDE AVE, KENNEWICK, WA 99336-2623
(509) 460-5588
(509) 783-5438
Mailing address
6703 W RIO GRANDE AVE, KENNEWICK, WA 99336-2623
(509) 460-5588
(509) 783-5438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
241219-30
WI
163W00000X
Registered Nurse
RN61063905
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61079172
WA
Other
Enumeration date
04/27/2020
Last updated
02/17/2022
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