Individual provider · Type 1 NPI

Tareylon Symone Ancrum

Registered Nurse · Port Orchard, WA

NPI number 1063397305 Active

Practice location

614 Division St # Ms 33
Port Orchard, WA 98366-4614

Mailing address

3202 S Mason Ave Apt A206
Tacoma, WA 98409-8526

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN61593757 (WA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1063397305

Tareylon Symone Ancrum's National Provider Identifier is 1063397305, issued on Aug 6, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Port Orchard, WA. The record was last updated on Aug 6, 2025.