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Andrew Wildasin, LPN
NPI 1063879419 · Licensed Vocational Nurse · Tacoma, WA
Andrew Wildasin, LPN is a Licensed Vocational Nurse provider in Tacoma, WA (NPI 1063879419).
Provider details
- NPI number
- 1063879419
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- No
- License
- 327772 (TX)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9040 Reid Street, Attn: Mchj-Clq-C
Madigan Army Medical Center
Tacoma, WA 98431-1000
Phone: (253) 968-1110
Fax: (577) 874-1031
Approximate (ZIP-level) locationGet directions
Mailing address
9040 Reid Street, Attn: Mchj-Clq-C
Tacoma, WA 98431-1000
Registry dates
- Enumerated
- 2016-01-15
- Last updated
- 2016-01-15
Frequently asked questions
- What is Andrew Wildasin's NPI number?
- Andrew Wildasin's National Provider Identifier (NPI) is 1063879419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrew Wildasin's specialty?
- Andrew Wildasin is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).
- Where is Andrew Wildasin located?
- Andrew Wildasin's practice location on file with NPPES is 9040 Reid Street, Attn: Mchj-Clq-C, Tacoma, WA 98431-1000.
- What is Andrew Wildasin's phone number?
- The practice phone number listed in the NPPES registry for Andrew Wildasin is (253) 968-1110.
- Is Andrew Wildasin's NPI active?
- Yes — Andrew Wildasin's NPI (1063879419) is active in the NPPES registry as of the last update on 2016-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.