Healthcare Provider Details

I. General information

NPI: 1790597318
Provider Name (Legal Business Name): CHENIN SCHAEFFER TOFFLEMIRE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2025
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10333 19TH AVE SE STE 109
EVERETT WA
98208-4267
US

IV. Provider business mailing address

17732 CORLISS AVE N
SHORELINE WA
98133-5158
US

V. Phone/Fax

Practice location:
  • Phone: 425-742-4600
  • Fax:
Mailing address:
  • Phone: 206-619-2457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61653355
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: