Healthcare Provider Details

I. General information

NPI: 1164763611
Provider Name (Legal Business Name): RACHEL C EPSTEIN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2013
Last Update Date: 02/02/2021
Certification Date: 02/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4515 MARTIN LUTHER KING JR WAY S SUITE 100
SEATTLE WA
98108-2182
US

IV. Provider business mailing address

4515 MARTIN LUTHER KING JR WAY S SUITE 100
SEATTLE WA
98108-2182
US

V. Phone/Fax

Practice location:
  • Phone: 206-320-5325
  • Fax: 206-760-6339
Mailing address:
  • Phone: 206-320-5325
  • Fax: 206-760-6339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP60464004
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License NumberRN60446292
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number60464004
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number60446292
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: