Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EVERGREEN MOBILE NP
NPI 1689582488
Nurse Practitioner in Puyallup, WA

Q: What is Evergreen Mobile Np's NPI number?

The NPI number for Evergreen Mobile Np is 1689582488. It was assigned to this organization in the NPPES registry on September 1, 2026.

Q: What is Evergreen Mobile Np's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 01, 2026

2411 43RD AVE SE, PUYALLUP, WA 98374(734) 239-1192 Get Directions Write a Review

NPPES record added: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Evergreen Mobile Np NPPES

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

EVERGREEN MOBILE NP (NPI 1689582488) is a healthcare organization registered as a nurse practitioner in Puyallup, Washington and active in the NPI registry since September 2026. The organization lists Man M Le, Owner/ Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1689582488

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameEVERGREEN MOBILE NP

Location Address2411 43RD AVE SEPuyallup, WA 98374-4180

Mailing Address2411 43rd Ave SePuyallup, WA 98374-4180 · (734) 239-1192

Phone(734) 239-1192

Organization SubpartNo

Authorized OfficialMan M LeOwner/ Nurse Practitioner · (734) 239-1192

Enumeration DateSeptember 1, 2026

NPPES CertifiedSeptember 1, 2026

✔ NPI 1689582488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2411 43RD AVE SE, Puyallup, WA 98374

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Evergreen Mobile Np's NPI number?

The NPI number for Evergreen Mobile Np is 1689582488. It was assigned to this organization in the NPPES registry on September 1, 2026.

Where is Evergreen Mobile Np located?

Evergreen Mobile Np is located at 2411 43rd Ave SE, Puyallup, WA 98374. The listed phone number is (734) 239-1192.

What is Evergreen Mobile Np's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Mobile Np was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.