EVA NYSTROM, ARNP, PLLC (NPI# 1760555445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760555445 |
| Entity Type | Organization |
| Organization Name | EVA NYSTROM, ARNP, PLLC |
| Practice Address |
1405 Se 164th Ave Suite 201 Vancouver WA 98683-9644 |
| Mailing Address |
Po Box 848348 Boston MA 02284-8348 |
| Practice Telephone | 3608852200 |
| Practice Fax Number | 3608851499 |
| Mailing Telephone | 3608852200 |
| Mailing Fax Number | 3608851499 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | EVA M NYSTROM (OWNER,MEMBER) |
| Authorized Official Telephone | 3608852200 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | AP30004316 | WA | Ambulatory Health Care Facilities |
| Street Address |
1405 SE 164TH AVE SUITE 201 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-9644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689669475 | Donald John Benz | Family Medicine | 1405 Se 164th Ave, Suite 201, Vancouver, WA 98683-9644 | 2005-09-16 |
| 1013109115 | Canepa Dental, LLC | Dentist | 1405 Se 164th Ave, Vancouver, WA 98683-9644 | 2007-08-13 |
| 1649461476 | Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, Ps | Clinic/Center | 1405 Se 164th Ave, Suite 102, Vancouver, WA 98683-9644 | 2007-08-07 |
| 1558552380 | Vancouver Ear, Nose & Throat Head & Neck Surgery Clinic, Ps | Clinic/Center | 1405 Se 164th Ave, Suite 102, Vancouver, WA 98683-9644 | 2007-08-07 |
| 1316147549 | Vancouver Ent & Ent of The Northwest, Pllc | Hearing Aid Equipment | 1405 Se 164th Ave, Ste 102, Vancouver, WA 98683-9644 | 2007-07-25 |
| 1801098868 | Michael Lee Workman | Specialist | 1405 Se 164th Ave, Vancouver, WA 98683-9644 | 2007-06-01 |
| 1821142738 | Lisa D Zylstra | Physician Assistant | 1405 Se 164th Ave, Suite 101, Vancouver, WA 98683-9644 | 2007-01-22 |
| 1164588778 | Amna Shebani | Dentist | 1405 Se 164th Ave, Suite# 203, Vancouver, WA 98683-9644 | 2006-12-28 |
| 1780755876 | Vancouver Ent and Ent of The Northwest Pllc | Clinic/Center | 1405 Se 164th Ave, Suite 102, Vancouver, WA 98683-9644 | 2006-11-13 |
| 1417042730 | Michael J. Mitchell | Otolaryngology | 1405 Se 164th Ave, Suite 102, Vancouver, WA 98683-9644 | 2006-10-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881109361 | Advanced Acupuncture, Inc. | Clinic/Center | 9411 Ne Highway 99 Ste 1, Vancouver, WA 98665-8970 | 2017-12-06 |
| 1699144865 | Planned Parenthood of The Columbia/willamette | Clinic/Center | 11516 Se Mill Plain Blvd Ste 2e, Suite 2e, Vancouver, WA 98684-5082 | 2015-09-17 |
| 1265842041 | Onsite Doctors, LLC | Clinic/Center | 1800 Se Columbia River Dr., Vancouver, WA 98661 | 2014-05-02 |
| 1942641584 | Pnw Ent | Clinic/Center | 718 Ne 87th Ave, Vancouver, WA 98664-1970 | 2013-07-11 |
| 1538709803 | Legacy Salmon Creek Hospital | Clinic/Center | 2101 Ne 139th St Ste 460, Vancouver, WA 98686-2325 | 2020-01-14 |
| 1851944375 | Ideal Option, Pllc | Clinic/Center | 315 W Mill Plain Blvd Ste 200, Vancouver, WA 98660-3999 | 2019-07-23 |
| 1225507890 | Columbia Family Medicine Clinic LLC | Clinic/Center | 3606 Main St, Vancouver, WA 98663-2257 | 2018-11-13 |
| 1801319827 | Siloam Ps | Clinic/Center | 406 Se 131st Ave Ste 203, Vancouver, WA 98683-4013 | 2017-07-21 |
| 1841737699 | Legacy Salmon Creek Im | Clinic/Center | 2101 Ne 139th St, Suite 460, Vancouver, WA 98686-2325 | 2017-01-31 |
| 1912369430 | Plum Village Wellness | Clinic/Center | 202 E Mcloughlin Blvd, 201, Vancouver, WA 98663-3369 | 2016-03-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.