Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keyana Nicholson

Individual provider Licensed Practical Nurse · NPI 1013677020

Keyana Nicholson is a Licensed Practical Nurse in Olympia, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2021

Practice location Address checks out

3436 Mary Elder Rd NE
Olympia, WA 98506-5050
Phone: (360) 528-2590
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LP60927578 (WA)

Record details

NPI number1013677020
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 20, 2021
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021
Mailing address5010 4th Way Sw Apt 202, Olympia, WA 98502-2408

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