Healthcare Provider Details

I. General information

NPI: 1205270121
Provider Name (Legal Business Name): MYRIAM GALBRAITH ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2013
Last Update Date: 01/14/2024
Certification Date: 01/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 6TH AVE STE 100
TACOMA WA
98405-4682
US

IV. Provider business mailing address

PO BOX 5299 MS: 820-5-PCO
TACOMA WA
98415-0299
US

V. Phone/Fax

Practice location:
  • Phone: 253-403-7277
  • Fax: 253-403-4348
Mailing address:
  • Phone: 253-459-8231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP61448673
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00131980
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: