Healthcare Provider Details

I. General information

NPI: 1679301642
Provider Name (Legal Business Name): TRACY L MEYER DNP-FNP, ARNP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 SUMMIT AVE APT N
SEATTLE WA
98101-2833
US

IV. Provider business mailing address

1201 SUMMIT AVE APT N
SEATTLE WA
98101-2833
US

V. Phone/Fax

Practice location:
  • Phone: 206-930-5561
  • Fax:
Mailing address:
  • Phone: 206-930-5561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP70025866
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN61225260
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: