Provider Demographics
NPI:1154651933
Name:YAP, ROBERT ANTHONY (ARNP)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ANTHONY
Last Name:YAP
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12459 AMBUM BLVD. SW
Mailing Address - Street 2:UNIT A
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98146
Mailing Address - Country:US
Mailing Address - Phone:206-403-1819
Mailing Address - Fax:206-588-2752
Practice Address - Street 1:12459 AMBAUM BLVD S.W.
Practice Address - Street 2:UNIT A
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98146
Practice Address - Country:US
Practice Address - Phone:206-403-1819
Practice Address - Fax:206-588-2752
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-30
Last Update Date:2017-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3495363LF0000X
WAAP60126973363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAP60126973OtherWA LICENSE
RN60126860OtherWA LICENSE