Healthcare Provider Details

I. General information

NPI: 1427174416
Provider Name (Legal Business Name): RACHEL S FENIMORE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

753 N 35TH ST STE 204
SEATTLE WA
98103-8889
US

IV. Provider business mailing address

753 N 35TH ST, SUITE 204
SEATTLE WA
98103
US

V. Phone/Fax

Practice location:
  • Phone: 206-225-9820
  • Fax: 206-257-0168
Mailing address:
  • Phone: 206-225-9820
  • Fax: 206-267-0168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP30007554
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberAP30007554
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: