Healthcare Provider Details

I. General information

NPI: 1316996929
Provider Name (Legal Business Name): LINDA C. PYKE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDA C. YOUNG ARNP

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 12/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST BOX 356123
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

1660 S COLUMBIAN WAY # GIMC-S111
SEATTLE WA
98108-1532
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-4228
  • Fax:
Mailing address:
  • Phone: 206-598-8920
  • Fax: 206-598-7663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30002089
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00081436
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: