Healthcare Provider Details

I. General information

NPI: 1700636131
Provider Name (Legal Business Name): ERIN DELSOL, ARNP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2024
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15206 10TH AVE SW STE D
BURIEN WA
98166-2107
US

IV. Provider business mailing address

5608 17TH AVE NW STE 1566
SEATTLE WA
98107-5232
US

V. Phone/Fax

Practice location:
  • Phone: 206-594-4837
  • Fax: 206-480-0693
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIN DELSOL-MCINTIRE
Title or Position: OWNER/NURSE PRACTITIONER
Credential: ARNP
Phone: 206-594-4837