Healthcare Provider Details

I. General information

NPI: 1578631446
Provider Name (Legal Business Name): MONICA IRENE KNAPP ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MONICA IRENE SHELLEY RN

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 05/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 9TH AVE
SEATTLE WA
98101-2756
US

IV. Provider business mailing address

1100 9TH AVE
SEATTLE WA
98101-2756
US

V. Phone/Fax

Practice location:
  • Phone: 206-223-6600
  • Fax:
Mailing address:
  • Phone: 206-515-5811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberSP009255
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP30008045
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00177526
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: