Healthcare Provider Details

I. General information

NPI: 1285295097
Provider Name (Legal Business Name): CHRISTOPHER GARRITY ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2019
Last Update Date: 05/11/2020
Certification Date: 05/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 ELLIOTT AVE W STE 500
SEATTLE WA
98119-4292
US

IV. Provider business mailing address

205 31ST AVE E
SEATTLE WA
98112-4822
US

V. Phone/Fax

Practice location:
  • Phone: 206-427-8301
  • Fax:
Mailing address:
  • Phone: 206-472-8301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61055299
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRN60776000
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: