Healthcare Provider Details

I. General information

NPI: 1467624049
Provider Name (Legal Business Name): SASKIA E VONMICHALOFSKI ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2008
Last Update Date: 07/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5837 221ST PL SE
ISSAQUAH WA
98027-8917
US

IV. Provider business mailing address

600 OAKESDALE AVE SW STE 104
RENTON WA
98057-5226
US

V. Phone/Fax

Practice location:
  • Phone: 425-391-0887
  • Fax: 425-391-7014
Mailing address:
  • Phone: 425-228-5336
  • Fax: 425-228-4540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60003268
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: