Healthcare Provider Details

I. General information

NPI: 1669394540
Provider Name (Legal Business Name): AMANDA L ESSERT ARNP-FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 LIMITED LN NW
OLYMPIA WA
98502-4577
US

IV. Provider business mailing address

2950 LIMITED LN NW
OLYMPIA WA
98502-4577
US

V. Phone/Fax

Practice location:
  • Phone: 360-706-2763
  • Fax: 360-350-0735
Mailing address:
  • Phone: 360-706-2763
  • Fax: 360-350-0735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP70160466
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: