Organization
PROFESSIONAL REGISTRY OF NURSING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY L CROSBY (PRESIDENT)
(253) 617-7715
Entity
Organization
Contact information
Practice address
10828 GRAVELLY LAKE DR SW, SUITE 201, LAKEWOOD, WA 98499-1334
(253) 617-7715
(253) 589-1514
Mailing address
10828 GRAVELLY LAKE DR SW, SUITE 201, LAKEWOOD, WA 98499-1334
(253) 617-7715
(253) 589-1514
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
NPOL.NR.00000237
WA
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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