Individual
BECKY RENEE VAN AUSDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
DEPARTMENT OF VETERANS AFFAIRS, AMERICAN LAKE DIVISION ER, TACOMA, WA 98493-5000
(253) 582-8400
Mailing address
24008 70TH AVENUE CT E, GRAHAM, WA 98338-7311
(253) 846-0314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00134219
WA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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