Healthcare Provider Details

I. General information

NPI: 1376561621
Provider Name (Legal Business Name): CLAUDIA A. DAVIS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 05/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST CAMPUS BOX 356166
SEATTLE WA
98195-6166
US

IV. Provider business mailing address

PO BOX 24366 M/S 359107
SEATTLE WA
98124-0366
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-4615
  • Fax: 206-598-2105
Mailing address:
  • Phone: 206-598-8920
  • Fax: 206-598-7663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00047512
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP30001145
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30001145
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: