Healthcare Provider Details

I. General information

NPI: 1518875889
Provider Name (Legal Business Name): EMILY SOUERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N 34TH ST STE 320
SEATTLE WA
98103-5296
US

IV. Provider business mailing address

824 NW 63RD ST UNIT B
SEATTLE WA
98107-2212
US

V. Phone/Fax

Practice location:
  • Phone: 206-486-8270
  • Fax:
Mailing address:
  • Phone: 503-740-1618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number70164760
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: