Provider Demographics
NPI:1811516867
Name:EAKIN, NANCY J (RN, BSN)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:J
Last Name:EAKIN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:J
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:3324 104TH PL SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-4537
Mailing Address - Country:US
Mailing Address - Phone:253-225-4176
Mailing Address - Fax:
Practice Address - Street 1:3324 104TH PL SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-4537
Practice Address - Country:US
Practice Address - Phone:253-225-4176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00170512163WC3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC3500XNursing Service ProvidersRegistered NurseCardiac Rehabilitation