Healthcare Provider Details

I. General information

NPI: 1801004494
Provider Name (Legal Business Name): FERN L KRASNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2414 SW ANDOVER ST D-120
SEATTLE WA
98106-1153
US

IV. Provider business mailing address

2414 SW ANDOVER ST D-120
SEATTLE WA
98106-1153
US

V. Phone/Fax

Practice location:
  • Phone: 206-923-6300
  • Fax:
Mailing address:
  • Phone: 206-923-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00005685
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN00074071
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: