Healthcare Provider Details

I. General information

NPI: 1700995487
Provider Name (Legal Business Name): PATRICE STAIGER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 03/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4060 E STEVENS WY NE
SEATTLE WA
98195
US

IV. Provider business mailing address

PO BOX 354410
SEATTLE WA
98195-4410
US

V. Phone/Fax

Practice location:
  • Phone: 206-616-2495
  • Fax: 206-616-4683
Mailing address:
  • Phone: 206-616-2495
  • Fax: 206-616-4683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP30001342
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00070795
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: