Individual provider · Type 1 NPI
Evelina Avetisova, AGPC-NP
Gerontology Nurse Practitioner · Shoreline, WA
NPI number
1609657816
Active
Practice location
15214 Aurora Ave N
Shoreline, WA 98133-6143
Fax (415) 252-7176
Mailing address
104 Solomon Rd Apt G302
Kelso, WA 98626-1772
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 10017243 (OR) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | AP61494666 (WA) |
Gerontology Nurse Practitioner: Definition to come...
11 other providers at this address
- Iora Health Washington Physicians, P.c.Internal Medicine Physician Shoreline, WA NPI 1275042053
- Iora Senior Health, LLCInternal Medicine Physician Shoreline, WA NPI 1871997965
- Alice M. Inouye, MDFamily Medicine Physician Shoreline, WA NPI 1831152065
- Beth Lee Fricke, MDFamily Medicine Physician Shoreline, WA NPI 1417342593
- Holly Elizabeth Bahnick, LMHCMental Health Counselor Shoreline, WA NPI 1417476706
- Jeanette Els Nyman, ARNPNurse Practitioner Shoreline, WA NPI 1396831525
- Julie WilliamsPhysician Assistant Shoreline, WA NPI 1215312475
- Kirsten Rose Hallstrom Henebry, PSYDPsychologist Shoreline, WA NPI 1285150979
- Martin D. Levine, MDFamily Medicine Physician Shoreline, WA NPI 1124172945
- Rachael Elizabeth Robins, PA-CPhysician Assistant Shoreline, WA NPI 1558881284
- Tara Leigh Sadr, PA-CPhysician Assistant Shoreline, WA NPI 1366177081
About NPI 1609657816
Evelina Avetisova, AGPC-NP's National Provider Identifier is 1609657816, issued on Oct 12, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Shoreline, WA. The record was last updated on Sep 17, 2025.