Healthcare Provider Details

I. General information

NPI: 1255904660
Provider Name (Legal Business Name): AMBER HYATT RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2021
Last Update Date: 07/22/2021
Certification Date: 07/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

PO BOX 5371 MB.6.540
SEATTLE WA
98145-5005
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-0587
  • Fax: 206-987-3945
Mailing address:
  • Phone: 206-987-0587
  • Fax: 206-987-3945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00138147
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: