Healthcare Provider Details

I. General information

NPI: 1346619939
Provider Name (Legal Business Name): CHRISTIE SEE-YEE WORTHEN AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTIE SEE-YEE CHAN

II. Dates (important events)

Enumeration Date: 09/24/2015
Last Update Date: 05/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 S CEDAR ST STE 301
TACOMA WA
98405-2302
US

IV. Provider business mailing address

1901 S CEDAR ST STE 301
TACOMA WA
98405-2302
US

V. Phone/Fax

Practice location:
  • Phone: 253-572-7320
  • Fax:
Mailing address:
  • Phone: 253-572-7320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60590542
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP 60590542
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP 60590542
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: