NPI 1073086245

Nicole Monique Evanson

Practitioner Peer Specialist Shoreline, WA

Practice location

Address: 17018 15th Ave NE, Shoreline, WA 98155-5137
Phone: (206) 362-7282

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1073086245
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2019
Record last updated: 9 Jan 2019

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.