ANDREW WILDASIN, LPN
Licensed Vocational Nurse
Active
Individual
NPI: 1063879419
Practice Address
9040 REID STREET, ATTN: MCHJ-CLQ-CMADIGAN ARMY MEDICAL CENTER
Tacoma, WA 98431
Phone: (253) 968-1110
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | Yes | 327772 (TX) |
Frequently Asked Questions
NPI 1063879419 is the National Provider Identifier for ANDREW WILDASIN, LPN, a Licensed Vocational Nurse provider located in Tacoma, WA. This NPI was enumerated on January 15, 2016.
ANDREW WILDASIN, LPN practices at 9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER, Tacoma, WA 98431.
Quick Facts
- NPI
- 1063879419
- Type
- Individual
- Enumerated
- Jan 15, 2016
- Last Updated
- Jan 15, 2016
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