Individual
DAVID NICHOLAS DEACONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
910 TACOMA AVE S, TACOMA, WA 98402-2104
(253) 798-4668
Mailing address
614 DIVISION ST, PORT ORCHARD, WA 98366-4614
(360) 337-7108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61481744
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP70056242
WA
Other
Enumeration date
05/02/2025
Last updated
01/28/2026
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