Healthcare Provider Details

I. General information

NPI: 1265153142
Provider Name (Legal Business Name): ERIN LILLIAN YORK BANNON DNP, ARNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN LILLIAN YORK

II. Dates (important events)

Enumeration Date: 09/08/2022
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23320 HIGHWAY 99
EDMONDS WA
98026-8744
US

IV. Provider business mailing address

23320 HIGHWAY 99
EDMONDS WA
98026-8744
US

V. Phone/Fax

Practice location:
  • Phone: 425-789-3789
  • Fax:
Mailing address:
  • Phone: 425-789-3789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP.AP.70002999-NP
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60486143
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: