Individual
NINA WARRIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2525 NE 139TH ST, VANCOUVER, WA 98686-2719
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP60709163
WA
363LP2300X
Primary Care Nurse Practitioner
N360711162
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2075577
—
WA
01
—
AP60709163
ADVANCED REGISTERED NURSE PRACTITIONER LICENSE
WA
Enumeration date
12/01/2016
Last updated
03/02/2023
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