Healthcare Provider Details
I. General information
NPI: 1528829132
Provider Name (Legal Business Name): YAN SHEN ARNP, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/22/2024
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 BROADWAY STE 400
SEATTLE WA
98122-5312
US
IV. Provider business mailing address
PO BOX 25608
SALT LAKE CITY UT
84125-0608
US
V. Phone/Fax
- Phone: 206-215-9071
- Fax: 206-710-9016
- Phone: 206-320-4476
- Fax: 206-568-7043
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | AP61474351 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | AP61474351 |
| License Number State | WA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN0017014 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: