Healthcare Provider Details

I. General information

NPI: 1356995286
Provider Name (Legal Business Name): AIYANA TURPEN-SCOTT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2019
Last Update Date: 08/07/2023
Certification Date: 08/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10025 NE 186TH ST
BOTHELL WA
98011-3839
US

IV. Provider business mailing address

10025 NE 186TH ST
BOTHELL WA
98011-3839
US

V. Phone/Fax

Practice location:
  • Phone: 425-486-9131
  • Fax: 425-486-9490
Mailing address:
  • Phone: 425-486-9131
  • Fax: 425-486-9490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA1126432
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: