Healthcare Provider Details

I. General information

NPI: 1467133728
Provider Name (Legal Business Name): ELIZABETH LAYNE EMIG DNP, AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2023
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 17TH AVE
SEATTLE WA
98122-5788
US

IV. Provider business mailing address

7351 40TH AVE NE
SEATTLE WA
98115-6009
US

V. Phone/Fax

Practice location:
  • Phone: 206-215-4545
  • Fax:
Mailing address:
  • Phone: 253-486-4913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberARNP.AP.70166470-NP
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN61191411
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: