Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Evergreen Mobile NP

Organization Nurse Practitioner · NPI 1689582488

Evergreen Mobile NP provides Nurse Practitioner services in Puyallup, Washington. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2411 43rd Ave SE
Puyallup, WA 98374-4180
Phone: (734) 239-1192
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1689582488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Man Le — Owner/ Nurse Practitioner · (734) 239-1192
NPI enumeratedSeptember 1, 2026
Last updated in NPPESSeptember 1, 2026
Certification dateSeptember 1, 2026
Mailing address2411 43rd Ave Se, Puyallup, WA 98374-4180

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