MEDICARE: ELIZA WARFIELD BRINK DNP, ARNP, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP60387106	WA

General Provider Information

NPI Number	:	1265781918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZA WARFIELD BRINK DNP, ARNP, PMHNP-BC

Provider Business Mailing Address
First Line	:	126 NW CANAL ST STE 200
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-4970
Country	:	US
Telephone Number	:	206-486-1500
Fax Number	:	206-775-7215

Provider Business Practice Location Address
First Line	:	126 NW CANAL ST STE 200
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-4970
Country	:	US
Telephone Number	:	206-486-1500
Fax Number	:	206-775-7215

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2012
Last Update Date	:	05/22/2025

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