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Individual

ALLISON NYSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
200 NE MOTHER JOSEPH PL STE 330, VANCOUVER, WA 98664-3288
(360) 514-2990
(360) 514-3508
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
61487880
WA
363LA2100X
Acute Care Nurse Practitioner
AP61487880
WA
363LA2100X
Acute Care Nurse Practitioner
RN61406938
WA

Other

Enumeration date
08/31/2023
Last updated
07/28/2026
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