Healthcare Provider Details

I. General information

NPI: 1053814954
Provider Name (Legal Business Name): NATALIA SMITH ARNP, FNP, AGACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIA MENERT FNP, AGACNP

II. Dates (important events)

Enumeration Date: 03/16/2018
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21632 HIGHWAY 99
EDMONDS WA
98026-8032
US

IV. Provider business mailing address

PO BOX 25608
SALT LAKE CITY UT
84125-0608
US

V. Phone/Fax

Practice location:
  • Phone: 425-673-8300
  • Fax: 425-673-8301
Mailing address:
  • Phone: 206-320-4476
  • Fax: 206-568-7043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60849222
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP60849222
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60849222
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: