Provider Demographics
NPI:1245794270
Name:PEREZ, CHRISTY JOY (ARNP)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:JOY
Last Name:PEREZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4012 ASHWORTH AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8146
Mailing Address - Country:US
Mailing Address - Phone:206-291-2055
Mailing Address - Fax:
Practice Address - Street 1:6837 29TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-7236
Practice Address - Country:US
Practice Address - Phone:206-471-9666
Practice Address - Fax:855-862-1494
Is Sole Proprietor?:No
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60925994363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care