Healthcare Provider Details

I. General information

NPI: 1942573969
Provider Name (Legal Business Name): NICOLE WRAYANN STORLIE ARNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2012
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12503 SE MILL PLAIN BLVD STE 123
VANCOUVER WA
98684-4007
US

IV. Provider business mailing address

PO BOX 2689
WENATCHEE WA
98807-2689
US

V. Phone/Fax

Practice location:
  • Phone: 360-334-9942
  • Fax: 425-242-3683
Mailing address:
  • Phone: 95-426-4790
  • Fax: 509-554-4497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP60909283
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN 60203300
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: