Individual
DR. NEILAN JOHN RONQUILLO ACASO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, APRN, FNP-C
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1000
Mailing address
2535 S MERIDIAN APT W201, PUYALLUP, WA 98373-1636
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN61557430
WA
363LF0000X
Family Nurse Practitioner
AP.70058866-NP
WA
Other
Enumeration date
10/09/2025
Last updated
10/22/2025
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