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Individual

MRS. IVETA EVERINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RNFA

Contact information

Practice address
1945 16 TH AVE NE, ISSAQUAH, WA 98029
(206) 427-2898
(541) 647-2171
Mailing address
PO BOX 2847, ISSAQUAH, WA 98027
(206) 427-2898
(541) 647-2171

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
200740612RN
OR
163WR0006X
Registered Nurse First Assistant
Primary
RN00144475
WA
163WS0121X
Plastic Surgery Registered Nurse
200740612RN
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
275020
SURGICAL ASSISTING SERVICES
WA
Enumeration date
08/28/2008
Last updated
06/30/2021
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