Healthcare Provider Details

I. General information

NPI: 1619599040
Provider Name (Legal Business Name): ANA-IRINA SPRINGER RNFA, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANA-IRINA BOLOGAN RNFA, ARNP

II. Dates (important events)

Enumeration Date: 05/07/2020
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11911 NE 132ND ST
KIRKLAND WA
98034-2900
US

IV. Provider business mailing address

11911 NE 132ND ST
KIRKLAND WA
98034-2900
US

V. Phone/Fax

Practice location:
  • Phone: 425-899-5800
  • Fax: 425-899-5806
Mailing address:
  • Phone: 425-899-5800
  • Fax: 425-899-5806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN60575264
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP61204155
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: