Healthcare Provider Details

I. General information

NPI: 1205786894
Provider Name (Legal Business Name): MICHELLE LYNN TRUONG ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 SWIFT BLVD
RICHLAND WA
99352-3513
US

IV. Provider business mailing address

875 SWIFT BLVD
RICHLAND WA
99352-3513
US

V. Phone/Fax

Practice location:
  • Phone: 509-946-1654
  • Fax: 509-943-5652
Mailing address:
  • Phone: 509-946-1654
  • Fax: 509-943-5652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP.AP.70148647-NP
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN61162811
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: