Healthcare Provider Details

I. General information

NPI: 1366136376
Provider Name (Legal Business Name): LINDSAY TRENT ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 S 38TH ST STE A109
TACOMA WA
98409-7372
US

IV. Provider business mailing address

8625 S ASOTIN ST
TACOMA WA
98444-3175
US

V. Phone/Fax

Practice location:
  • Phone: 253-274-3943
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61454563
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60300120
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: