Healthcare Provider Details

I. General information

NPI: 1528124492
Provider Name (Legal Business Name): JOELLE P FATHI DNP, RN, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PROF. JOELLE P FATHI

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 01/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 MADISON ST STE 900
SEATTLE WA
98104-1306
US

IV. Provider business mailing address

1101 MADISON ST STE 900
SEATTLE WA
98104-1306
US

V. Phone/Fax

Practice location:
  • Phone: 206-215-6800
  • Fax: 206-215-6801
Mailing address:
  • Phone: 206-215-6800
  • Fax: 206-215-6801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP30005597
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: