Individual provider · Type 1 NPI

Keyana Nicholson

Licensed Practical Nurse · Olympia, WA

NPI number 1013677020 Active

Practice location

3436 Mary Elder Rd NE
Olympia, WA 98506-5050

Mailing address

5010 4th Way SW Apt 202
Olympia, WA 98502-2408

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP60927578 (WA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1013677020

Keyana Nicholson's National Provider Identifier is 1013677020, issued on Dec 20, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Olympia, WA. The record was last updated on Dec 20, 2021.