Healthcare Provider Details

I. General information

NPI: 1184690596
Provider Name (Legal Business Name): EMILY YOUNG HOWARD CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY YOUNG LEE CRNA

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 TALLMAN AVE NW
SEATTLE WA
98107-3932
US

IV. Provider business mailing address

5520 143RD AVE SE
BELLEVUE WA
98006-4383
US

V. Phone/Fax

Practice location:
  • Phone: 206-781-6344
  • Fax: 206-781-6184
Mailing address:
  • Phone: 425-643-1788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAP30000874
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: