Healthcare Provider Details

I. General information

NPI: 1710434493
Provider Name (Legal Business Name): JOSEPH FRANK FERRY ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2016
Last Update Date: 01/31/2022
Certification Date: 01/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 MADISON ST STE 1020
SEATTLE WA
98104
US

IV. Provider business mailing address

85 MAUI LANI PKWY
WAILUKU HI
96793-2416
US

V. Phone/Fax

Practice location:
  • Phone: 206-215-2658
  • Fax: 206-991-2363
Mailing address:
  • Phone: 808-442-5700
  • Fax: 855-827-2321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60456647
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP60938185
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60938185
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: