Healthcare Provider Details

I. General information

NPI: 1720553613
Provider Name (Legal Business Name): CHRISTINE EYLER DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2018
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6553 CALIFORNIA AVE SW STE B
SEATTLE WA
98136-1896
US

IV. Provider business mailing address

6553 CALIFORNIA AVE SW STE B
SEATTLE WA
98136-1896
US

V. Phone/Fax

Practice location:
  • Phone: 206-973-3783
  • Fax: 903-251-8717
Mailing address:
  • Phone: 206-973-3783
  • Fax: 903-251-8717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60854654
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60854654
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberAP60854654
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: