Healthcare Provider Details

I. General information

NPI: 1356259535
Provider Name (Legal Business Name): AMEENA HOOSEIN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4389 STIKES DR SE
LACEY WA
98503-5962
US

IV. Provider business mailing address

4389 STIKES DR SE
LACEY WA
98503-5962
US

V. Phone/Fax

Practice location:
  • Phone: 360-485-3953
  • Fax:
Mailing address:
  • Phone: 360-485-3953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP.AP.70177573-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: