Healthcare Provider Details

I. General information

NPI: 1700721446
Provider Name (Legal Business Name): CHRISTIANA NMEZI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 S GRADY WAY STE 600
RENTON WA
98057-3227
US

IV. Provider business mailing address

707 S GRADY WAY STE 600
RENTON WA
98057-3227
US

V. Phone/Fax

Practice location:
  • Phone: 281-619-3320
  • Fax:
Mailing address:
  • Phone: 281-619-3320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1232011
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: