Healthcare Provider Details

I. General information

NPI: 1669350245
Provider Name (Legal Business Name): KHANH LINH LINDSEY VAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 8TH AVE S
SEATTLE WA
98104-3032
US

IV. Provider business mailing address

1340 4TH AVE UNIT 4506
SEATTLE WA
98101-2600
US

V. Phone/Fax

Practice location:
  • Phone: 206-788-3700
  • Fax:
Mailing address:
  • Phone: 714-624-0220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP70042530
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberF08250246
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: