Healthcare Provider Details

I. General information

NPI: 1003826447
Provider Name (Legal Business Name): LINDA JONES ROHAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 12/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 114TH AVE SE 102
BELLEVUE WA
98004-6942
US

IV. Provider business mailing address

1300 114TH AVE SE 102
BELLEVUE WA
98004-6942
US

V. Phone/Fax

Practice location:
  • Phone: 206-310-0096
  • Fax: 425-454-2315
Mailing address:
  • Phone: 206-310-0096
  • Fax: 425-454-2315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberAP30002295
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: