Individual provider · Type 1 NPI

Sasha Nicole Davenport Souvenir, LPN

Licensed Practical Nurse · Tacoma, WA

NPI number 1376995423 Active

Practice location

9040 Jackson Ave, Madigan Army Medical Center Attn Mchj-Clq-C
Tacoma, WA 98431

Call (253) 968-3025 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X331358 (TX)

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.

1,162 other providers at this address

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About NPI 1376995423

Sasha Nicole Davenport Souvenir, LPN's National Provider Identifier is 1376995423, issued on Jul 12, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tacoma, WA. The record was last updated on Jul 12, 2016.