Healthcare Provider Details

I. General information

NPI: 1710281019
Provider Name (Legal Business Name): SONYA MARIE LUCHAUER ARNP, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SONYA MARIE MCCLANE

II. Dates (important events)

Enumeration Date: 12/29/2010
Last Update Date: 08/18/2020
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3429 45TH AVE SW
SEATTLE WA
98116-3330
US

IV. Provider business mailing address

PO BOX 3835
SEATTLE WA
98124-3835
US

V. Phone/Fax

Practice location:
  • Phone: 206-933-7842
  • Fax: 206-973-8676
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN143195
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN15461
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN61013150
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61013151
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: