Healthcare Provider Details

I. General information

NPI: 1275108359
Provider Name (Legal Business Name): NATALIE RAE ERVIN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2021
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23525 NE NOVELTY HILL RD STE 111
REDMOND WA
98053-1995
US

IV. Provider business mailing address

PO BOX 25608
SALT LAKE CITY UT
84125-0608
US

V. Phone/Fax

Practice location:
  • Phone: 425-296-9555
  • Fax: 425-517-8020
Mailing address:
  • Phone: 425-296-9555
  • Fax: 425-517-8020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP51186256
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61186256
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60687084
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: