MEDICARE: NAKYUNG CHOE 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
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	61208165	WA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	61208165	WA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP61208165	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	61208165	OTHER	WA	PMHP

General Provider Information

NPI Number	:	1669143665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAKYUNG CHOE ARNP

Provider Business Mailing Address
First Line	:	9311 SE 36TH ST STE 120
Second Line	:
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-3741
Country	:	US
Telephone Number	:	310-780-8527
Fax Number	:

Provider Business Practice Location Address
First Line	:	9311 SE 36TH ST STE 120
Second Line	:
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-3741
Country	:	US
Telephone Number	:	310-780-8527
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2021
Last Update Date	:	04/14/2025

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