Healthcare Provider Details

I. General information

NPI: 1497412555
Provider Name (Legal Business Name): ANNA GITAU ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: N/A N/A ARNP

II. Dates (important events)

Enumeration Date: 11/23/2021
Last Update Date: 04/19/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 FIR CT
MILTON WA
98354-9389
US

IV. Provider business mailing address

2311 FIR CT
MILTON WA
98354-9389
US

V. Phone/Fax

Practice location:
  • Phone: 206-330-7251
  • Fax:
Mailing address:
  • Phone: 206-330-7251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP70091197
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: