Healthcare Provider Details

I. General information

NPI: 1629918560
Provider Name (Legal Business Name): ALEXANDRA ROSE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34512 16TH AVE S UNIT A
FEDERAL WAY WA
98003-7852
US

IV. Provider business mailing address

34512 16TH AVE S UNIT A
FEDERAL WAY WA
98003-7852
US

V. Phone/Fax

Practice location:
  • Phone: 253-545-5700
  • Fax:
Mailing address:
  • Phone: 253-545-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP.AP.70149645-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: