Healthcare Provider Details
I. General information
NPI: 1821721028
Provider Name (Legal Business Name): ANDREW KENNETH MEEKS ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/05/2022
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4500 9TH AVE NE STE 300
SEATTLE WA
98105-4762
US
IV. Provider business mailing address
4500 9TH AVE NE STE 300
SEATTLE WA
98105-4762
US
V. Phone/Fax
- Phone: 206-679-7398
- Fax:
- Phone: 206-485-0711
- Fax: 206-504-1001
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP0808X |
| Taxonomy | Psychiatric/Mental Health Registered Nurse |
| License Number | RN60499592 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN60499592 |
| License Number State | WA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | AP61476819 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: