Healthcare Provider Details

I. General information

NPI: 1467910950
Provider Name (Legal Business Name): ALTRA HEALTH CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2019
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 219TH ST SW STE 480
MOUNTLAKE TERRACE WA
98043-2222
US

IV. Provider business mailing address

6100 219TH ST SW STE 480
MOUNTLAKE TERRACE WA
98043-2222
US

V. Phone/Fax

Practice location:
  • Phone: 425-405-0894
  • Fax: 425-249-3110
Mailing address:
  • Phone: 425-405-0894
  • Fax: 425-249-3110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ERIN MAUREEN CHANEY
Title or Position: OWNER/ PROVIDER
Credential: DNP ARNP
Phone: 425-405-0894