Healthcare Provider Details

I. General information

NPI: 1811388325
Provider Name (Legal Business Name): MS. VICKI LYNN SCHAUB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VICKI LYNN CLAVER ARNP

II. Dates (important events)

Enumeration Date: 02/05/2015
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 7TH AVE
SEATTLE WA
98104
US

IV. Provider business mailing address

7600 EVERGREEN WAY
EVERETT WA
98203-6421
US

V. Phone/Fax

Practice location:
  • Phone: 206-860-5302
  • Fax: 206-720-7458
Mailing address:
  • Phone: 206-860-5414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN00092727
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60477357
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: