Individual
ALYSIA DASENBROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
315 SE STONEMILL DR STE 102, VANCOUVER, WA 98684-6987
(360) 816-2710
Mailing address
315 SE STONEMILL DR STE 102, VANCOUVER, WA 98684-6987
(360) 816-2710
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61473094
WA
163WC0400X
Case Management Registered Nurse
RN61473094
WA
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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