institution
Evergreen Children's Clinic
Pediatric Nurse Practitioner in Puyallup, Washington
NPI 1750639704

Evergreen Children's Clinic is a Pediatric Nurse Practitioner based in Puyallup, WA and is specialized in Pediatrics. Evergreen Children's Clinic practices in Puyallup, WA. The NPI Number for Evergreen Children's Clinic is 1750639704 and holds a License No. AP60305667 (Washington).

The current practice location address for Evergreen Children's Clinic is 1910 Meridian St S, Puyallup, WA and can be reached out via phone at 253-848-2303 and via fax at 253-848-8956.

Location: 1910 Meridian St S, Puyallup, WA, 98371-7531
institution
Provider Profile Details
NPI Number
1750639704
Provider Name
Evergreen Children's Clinic
Credential
Provider Entity Type
Organization
Address
1910 Meridian St S, Puyallup, WA, 98371-7531
Phone Number
253-848-2303
Fax Number
253-848-8956
Provider Enumeration Date
08/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1910 Meridian St S
City
State
Zip
98371-7531
Phone Number
253-848-2303
Fax Number
253-848-8956
person
Provider Business Mailing Address Details
Address
1910 Meridian St S
City
State
Zip
98371-7531
Phone Number
253-848-2303
Fax Number
253-848-8956
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP60305667 (Washington)
Definition
Definition to come...
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