Healthcare Provider Details

I. General information

NPI: 1265366918
Provider Name (Legal Business Name): PAISHA CREE ANDERSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 E CENTRAL AVE STE 315
SPOKANE WA
99208-6290
US

IV. Provider business mailing address

212 E CENTRAL AVE STE 315
SPOKANE WA
99208-6290
US

V. Phone/Fax

Practice location:
  • Phone: 509-570-6760
  • Fax:
Mailing address:
  • Phone: 509-570-6760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP.AP.70162053-NP
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number61096848
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: