Individual
EVA NYSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
415 SE 177TH AVE, VANCOUVER, WA 98683-4201
(360) 980-2441
(877) 491-4990
Mailing address
PO BOX 728, CAMAS, WA 98607-0728
(360) 980-2441
(877) 491-4990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30004316
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9642158
—
WA
Enumeration date
02/07/2006
Last updated
02/28/2022
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