NPI 1063786697

Jordan Michelle Panian

Practitioner Licensed Practical Nurse Enumclaw, WA

Practice location

Address: 40903 236th Ave SE, Enumclaw, WA 98022-8606
Phone: (360) 825-6525

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LP60242155 (WA)

Other Licensed Practical Nurse providers in Washington →

Registry record

NPI: 1063786697
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Feb 2012
Record last updated: 29 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.