Healthcare Provider Details

I. General information

NPI: 1275292856
Provider Name (Legal Business Name): PAIGE NGUYEN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2021
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 OLIVE WAY STE 1349
SEATTLE WA
98101-2549
US

IV. Provider business mailing address

2001 JONES AVE NE
RENTON WA
98056-2659
US

V. Phone/Fax

Practice location:
  • Phone: 206-295-3456
  • Fax:
Mailing address:
  • Phone: 206-422-6213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP.70099877-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: