Healthcare Provider Details

I. General information

NPI: 1467956391
Provider Name (Legal Business Name): LYNESE CHRISTINE CRAMER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2018
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 E CHERRY ST STE 200
SEATTLE WA
98122-4633
US

IV. Provider business mailing address

17732 64TH DR NW
STANWOOD WA
98292-8965
US

V. Phone/Fax

Practice location:
  • Phone: 425-457-4621
  • Fax:
Mailing address:
  • Phone: 509-818-2865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number202011283NP-PP
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60838566
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60461421
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: