Nystrom, Eva
Nystrom, Eva is an sole proprietor health care provider with primary practice located at 415 Se 177Th Ave , Vancouver WA 98683-4201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nystrom, Eva can be contacted via phone (360) 980-2441.Contact Information
Primary practice address
415 Se 177Th Ave
Vancouver WA 98683-4201
Phone: (360) 980-2441
Fax: (877) 491-4990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30004316 | Washington |
Profile Details
| NPI number | 1922071422 |
|---|---|
| LBN Legal business name | Nystrom, Eva |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Feb 28th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922071422 | NPPES |
| Washington | MEDICAID | 9642158 |
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