=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760297741
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DANIELLE WALDRON ARNP PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/08/2025
-----------------------------------------------------
Last Update Date | 02/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 19109 36TH AVE W STE 209
-----------------------------------------------------
City | LYNNWOOD
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98036-5767
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-673-7585
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 218 168TH ST SE
-----------------------------------------------------
City | BOTHELL
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98012-5959
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-399-1006
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DANIELLE PAIGE WALDRON
-----------------------------------------------------
Credential | MSN, ARNP
-----------------------------------------------------
Telephone | 425-522-2181
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------