OrganizationActive
Professional Registry of Nursing, Inc.
NPI 1457892291 · Nursing Care Agency · Lakewood, WA
Provider details
- NPI number
- 1457892291
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jerry Crosby, President(253) 617-7715
- License
- NPOL.NR.00000237 (WA)
Specialties & taxonomies
Agencies
Practice location
10828 Gravelly Lake Dr Sw
Suite 201
Lakewood, WA 98499-1334
Phone: (253) 617-7715
Fax: (253) 589-1514
Approximate (ZIP-level) locationGet directions
Mailing address
10828 Gravelly Lake Dr Sw
Lakewood, WA 98499-1334
Registry dates
- Enumerated
- 2017-03-13
- Last updated
- 2017-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.