MEDICARE: ARLENE RENEE GRIFFITH

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	363LF0000X	Family Nurse Practitioner	2571594	ID
2	363L00000X	Nurse Practitioner	61603222	WA
3	163W00000X	Registered Nurse	RN.RN.61593043.MSL	WA

General Provider Information

NPI Number	:	1679306617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARLENE RENEE GRIFFITH

Provider Business Mailing Address
First Line	:	11919 SE 219TH PL
Second Line	:
City	:	KENT
State	:	WA
Zip	:	98031-3929
Country	:	US
Telephone Number	:	206-661-1242
Fax Number	:

Provider Business Practice Location Address
First Line	:	10024 SE 240TH ST STE 201
Second Line	:
City	:	KENT
State	:	WA
Zip	:	98031-5124
Country	:	US
Telephone Number	:	253-859-2273
Fax Number	:	253-850-8894

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

Provider Enumeration Date	:	08/23/2024
Last Update Date	:	01/27/2026

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Directions to “ ARLENE RENEE GRIFFITH ” Practice Location

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