SearchWashington171R00000X

Nivia Crest, NIC

NPI 1124330584 · on the registry since 2010 · sole proprietor

Practice

Address
1717 23rd Avenue Ct Se
Puyallup, WA 98374
Phone
(253) 841-5862

Registry record

Primary taxonomy
171R00000X
171R00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington