Keyana Nicholson
NPI #1013677020 in Olympia, Washington
Provider Information
- NPI Number
- 1013677020
- Entity Type
- Individual
- Name
- Keyana Nicholson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Dec 20, 2021
- Last Updated
- Dec 20, 2021
Practice Location
- Address
- 3436 MARY ELDER RD NE
- City
- Olympia
- State
- Washington
- ZIP Code
- 98506-5050
- Phone
- (360) 528-2590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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