Healthcare Provider Details

I. General information

NPI: 1932011590
Provider Name (Legal Business Name): EMILY JEANNE AMADORI-ALBERONI FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 OAKESDALE AVE SW STE 102
RENTON WA
98057-5204
US

IV. Provider business mailing address

547 S ASPEN WAY
MAPLETON UT
84664-0002
US

V. Phone/Fax

Practice location:
  • Phone: 808-445-0484
  • Fax:
Mailing address:
  • Phone: 808-445-0484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number12624244-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: