Organization
EVA NYSTROM, ARNP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA M NYSTROM FNP (OWNER,MEMBER)
(360) 885-2200
Entity
Organization
Contact information
Practice address
1405 SE 164TH AVE, SUITE 201, VANCOUVER, WA 98683-9644
(360) 885-2200
(360) 885-1499
Mailing address
PO BOX 848348, BOSTON, MA 02284-8348
(360) 885-2200
(360) 885-1499
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP30004316
WA
Other
Enumeration date
11/17/2006
Last updated
07/14/2008
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