Healthcare Provider Details

I. General information

NPI: 1336602762
Provider Name (Legal Business Name): MAUA WINGI SWAI ARNP, FNP-C, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28002 STATE ROUTE 410 E STE 5
BUCKLEY WA
98321-7516
US

IV. Provider business mailing address

PO BOX 7023
BONNEY LAKE WA
98391-0700
US

V. Phone/Fax

Practice location:
  • Phone: 253-470-8078
  • Fax: 253-248-0139
Mailing address:
  • Phone: 253-470-8078
  • Fax: 253-248-0139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60932756
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAP60932756
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: