Healthcare Provider Details

I. General information

NPI: 1487493144
Provider Name (Legal Business Name): DANIELLE FAITH FARRIS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2024
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4744 41ST AVE SW STE 101
SEATTLE WA
98116-4566
US

IV. Provider business mailing address

4744 41ST AVE SW STE 101
SEATTLE WA
98116-4566
US

V. Phone/Fax

Practice location:
  • Phone: 206-320-5780
  • Fax:
Mailing address:
  • Phone: 206-320-5780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP61533557
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN61132670
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: