Healthcare Provider Details

I. General information

NPI: 1033044664
Provider Name (Legal Business Name): BRYELLE HAND ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3920 CAPITAL MALL DR SW STE 203
OLYMPIA WA
98502-8702
US

IV. Provider business mailing address

3538 MAPLEVIEW DR NE
OLYMPIA WA
98506-5122
US

V. Phone/Fax

Practice location:
  • Phone: 360-569-9740
  • Fax:
Mailing address:
  • Phone: 920-655-4986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP.AP.70144541
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: