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NPI Code Detail

MEDICARE: ERIKA MOEN BENJAMIN ARNP

MEDICARE: ERIKA MOEN BENJAMIN ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN60272696WA
2363L00000XNurse PractitionerAP60670978WA
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAP60670978WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225493455
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA MOEN BENJAMIN ARNP
Provider Business Mailing Address
First Line : 2817 NE 55TH ST STE C
Second Line :
City : SEATTLE
State : WA
Zip : 98105-5536
Country : US
Telephone Number : 206-486-1500
Fax Number : 206-568-7043
Provider Business Practice Location Address
First Line : 126 NW CANAL ST
Second Line :
City : SEATTLE
State : WA
Zip : 98107-4970
Country : US
Telephone Number : 206-486-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2015
Last Update Date : 12/04/2023

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