Healthcare Provider Details

I. General information

NPI: 1194657320
Provider Name (Legal Business Name): EMERALD CITY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2914 E MADISON ST STE 103
SEATTLE WA
98112-4271
US

IV. Provider business mailing address

2914 E MADISON ST STE 103
SEATTLE WA
98112-4271
US

V. Phone/Fax

Practice location:
  • Phone: 206-222-0044
  • Fax:
Mailing address:
  • Phone: 206-222-0044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANNA VLADIMIROVNA VOLYNKINA
Title or Position: ARNP
Credential:
Phone: 203-298-2196