Healthcare Provider Details

I. General information

NPI: 1578023651
Provider Name (Legal Business Name): EMILY ELIZABETH LARIVIERE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2019
Last Update Date: 10/05/2021
Certification Date: 10/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 SENECA ST
SEATTLE WA
98101-2742
US

IV. Provider business mailing address

925 SENECA ST
SEATTLE WA
98101-2742
US

V. Phone/Fax

Practice location:
  • Phone: 206-341-0860
  • Fax:
Mailing address:
  • Phone: 206-341-0860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP61178866
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number60593263
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: