Healthcare Provider Details

I. General information

NPI: 1619260924
Provider Name (Legal Business Name): WENDY RYCHWALSKI A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2011
Last Update Date: 06/08/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 4TH AVE NE
SEATTLE WA
98115-2152
US

IV. Provider business mailing address

4050 1ST AVE NE
SEATTLE WA
98105-6502
US

V. Phone/Fax

Practice location:
  • Phone: 206-302-1200
  • Fax:
Mailing address:
  • Phone: 206-380-6163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60180051
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: