Healthcare Provider Details

I. General information

NPI: 1033547997
Provider Name (Legal Business Name): CHRISTI ANN LANCE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2013
Last Update Date: 02/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE FA.2.112
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

201 GALER ST APT 516
SEATTLE WA
98109-3190
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-3721
  • Fax:
Mailing address:
  • Phone: 360-333-2579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberAP60325579
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP60325579
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60325579
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: