Healthcare Provider Details

I. General information

NPI: 1467965954
Provider Name (Legal Business Name): HEATHER BUZBEE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2017
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31405 18TH AVE S
FEDERAL WAY WA
98003-5433
US

IV. Provider business mailing address

3703 166TH AVENUE CT E
LAKE TAPPS WA
98391-9573
US

V. Phone/Fax

Practice location:
  • Phone: 253-681-6600
  • Fax:
Mailing address:
  • Phone: 435-773-7225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP60799727
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60799727
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: