Healthcare Provider Details

I. General information

NPI: 1093287120
Provider Name (Legal Business Name): EMMA NAUMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2018
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6553 CALIFORNIA AVE SW STE B
SEATTLE WA
98136-1896
US

IV. Provider business mailing address

6553 CALIFORNIA AVE SW STE B
SEATTLE WA
98136-1896
US

V. Phone/Fax

Practice location:
  • Phone: 206-681-1058
  • Fax: 425-428-5841
Mailing address:
  • Phone: 206-681-1058
  • Fax: 425-428-5841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61174396
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60864655
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: