Healthcare Provider Details

I. General information

NPI: 1275503583
Provider Name (Legal Business Name): AMY RUTH BECKSTROM ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY WEIN ARNP

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE PO BOX 5371 CBDC
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

4800 SAND POINT WAY NE
SEATTLE WA
98105-3901
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-2106
  • Fax: 206-985-3357
Mailing address:
  • Phone: 206-987-2106
  • Fax: 206-985-3357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberR1257580
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: