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NPI Code Detail

MEDICARE: MS. KRYSTYNA SOLTYSIAK ARNP

MEDICARE:  MS. KRYSTYNA  SOLTYSIAK  ARNP
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
1363LA2200XAdult Health Nurse PractitionerAP30006791WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G8867351OTHERWAMEDICARE PTAN

General Provider Information

NPI Number : 1376543918
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRYSTYNA SOLTYSIAK ARNP
Provider Business Mailing Address
First Line : 21108 NE 42ND ST
Second Line :
City : SAMMAMISH
State : WA
Zip : 98074-6014
Country : US
Telephone Number : 425-818-0152
Fax Number :
Provider Business Practice Location Address
First Line : 200 ANDOVER PARK E STE 3
Second Line :
City : TUKWILA
State : WA
Zip : 98188-2938
Country : US
Telephone Number : 206-588-1722
Fax Number : 206-242-2275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 03/17/2018

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Directions to “ MS. KRYSTYNA SOLTYSIAK ARNP” Practice Location

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