Healthcare Provider Details

I. General information

NPI: 1225714983
Provider Name (Legal Business Name): ALESSANDRA DENARDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2023
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3807 78TH AVENUE CT W APT L304
UNIVERSITY PLACE WA
98466-3273
US

IV. Provider business mailing address

3807 78TH AVENUE CT W APT L304
UNIVERSITY PLACE WA
98466-3273
US

V. Phone/Fax

Practice location:
  • Phone: 253-442-5269
  • Fax:
Mailing address:
  • Phone: 253-442-5269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP70091807
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN61598194
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberR157401
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: