Individual
REGINA IFEANYI NWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17420 90TH AVENUE CT E, PUYALLUP, WA 98375-6192
(253) 678-2630
(253) 588-2358
Mailing address
17420 90TH AVENUE CT E, PUYALLUP, WA 98375-6192
(253) 678-2630
(253) 588-2358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00141356
WA
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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