NPI 1902440951

Tana Ann Vara, HCANAR

Practitioner Nurse's Aide Shelton, WA

Practice location

Address: 101 E Park Rd, Shelton, WA 98584-9125
Phone: (360) 660-0567

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence NA60794599 (WA)

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Registry record

NPI: 1902440951
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Nov 2019
Record last updated: 2 Nov 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.