Individual
MISTY NASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 15TH AVE SW, PUYALLUP, WA 98371-7495
(253) 376-7792
Mailing address
13220 96TH AVENUE CT E, PUYALLUP, WA 98373-5528
(253) 376-7792
(253) 322-6227
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001322
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI00001322
WASHINGTON STATE LICENSE NUMBER
WA
Enumeration date
08/07/2007
Last updated
01/02/2020
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