Healthcare Provider Details

I. General information

NPI: 1932018538
Provider Name (Legal Business Name): HOLLY WOZNIAK ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1029 E MAIN STE 104
PUYALLUP WA
98372-3814
US

IV. Provider business mailing address

15409 42ND AVE S APT A
TUKWILA WA
98188-2202
US

V. Phone/Fax

Practice location:
  • Phone: 253-446-6977
  • Fax: 253-604-4703
Mailing address:
  • Phone: 480-528-4501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP.AP.70169229-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: