IndividualActive
Evelina Avetisova, AGPC-NP
NPI 1609657816 · Gerontology Nurse Practitioner · Shoreline, WA
Provider details
- NPI number
- 1609657816
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGPC-NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10017243 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
15214 Aurora Ave N
Shoreline, WA 98133-6143
Phone: (888) 405-6396
Fax: (415) 252-7176
Approximate (ZIP-level) locationGet directions
Mailing address
104 Solomon Rd Apt G302
Kelso, WA 98626-1772
Registry dates
- Enumerated
- 2023-10-12
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.