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ANDREW JAMES WILDASIN LPN
NPI 1063879419
Licensed Vocational Nurse in Tacoma, WA

Active since January 15, 2016
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431(253) 968-1110(577) 874-1031 Get Directions Write a Review

NPPES record last updated: January 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrew James Wildasin Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW JAMES WILDASIN LPN (NPI 1063879419) is an individual licensed vocational nurse in Tacoma, Washington, licensed in Texas (327772) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1063879419
Entity TypeIndividualMale
Primary Taxonomy164X00000X
Provider Legal NameANDREW JAMES WILDASINCredential: LPN
Location Address9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTERTacoma, WA 98431-1000
Mailing Address9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical CenterTacoma, WA 98431-1000 · (253) 968-1110 · Fax (577) 874-1031
Phone(253) 968-1110
Fax(577) 874-1031
Sole ProprietorNo
Enumeration DateJanuary 15, 2016
✔ NPI 1063879419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in TX · 327772
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
9040 REID STREET, ATTN: MCHJ-CLQ-C, Tacoma, WA 98431
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY MICHELL CAVIN LPN
Licensed Practical Nurse
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-1110
JAMIE ELIZABETH CLEVELAND RN
Registered Nurse
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-1110
MRS. DONNA IRENE MORRIS
Registered Nurse
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-1110
MISS HANNAH ELIZABETH SKEAN RN
Registered Nurse
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-1110
MRS. LINDA JEAN KINNEY LPN
Licensed Practical Nurse
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-1110
EMILY N. ROSSIN RN
Registered Nurse
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-1110
KELSEY MONROE SAMUELSON RN
Registered Nurse
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-1110
MS. VICKY LEE CAIRNS RN
Registered Nurse
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-1110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Wildasin's NPI number?

The NPI number for Andrew Wildasin is 1063879419. It was assigned to this individual provider in the NPPES registry on January 15, 2016.

Where is Andrew Wildasin located?

Andrew Wildasin practices at 9040 Reid Street, Attn: Mchj-Clq-C Madigan Army Medical Center, Tacoma, WA 98431. The listed phone number is (253) 968-1110.

What is Andrew Wildasin's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Andrew Wildasin was last updated on January 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.