Healthcare Provider Details

I. General information

NPI: 1871141945
Provider Name (Legal Business Name): CINDY CRYSTAL YEH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2019
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 QUEEN ANNE AVE N
SEATTLE WA
98109-4521
US

IV. Provider business mailing address

531 QUEEN ANNE AVE N
SEATTLE WA
98109-4521
US

V. Phone/Fax

Practice location:
  • Phone: 425-640-0646
  • Fax:
Mailing address:
  • Phone: 425-640-0646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95012586
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61169805
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: