Evan Walker Prewitt
Nurse's Aide in Longview, WA. Individual provider (NPI-1).
NPI number1801612866
StatusActive
Last updated in NPPESNov 25, 2024
Details
- NPI
- 1801612866
- Entity type
- Individual (NPI-1)
- Name
- Evan Walker Prewitt
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 25, 2024
- Certification date
- Nov 25, 2024
- Last updated
- Nov 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | NC61544604 | WA | Yes |
Practice location
720 14th AveLongview, WA 98632-2315
Phone 360-423-0203 · Fax 360-577-0187
Mailing address
Po Box 1847Longview, WA 98632-8140
Phone 360-423-0203 · Fax 360-577-0187
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