Provider Demographics
NPI:1336126309
Name:THOENNES, LINDA RAYE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:RAYE
Last Name:THOENNES
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 1:8400 167TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3932
Mailing Address - Country:US
Mailing Address - Phone:425-881-8400
Mailing Address - Fax:425-881-3355
Practice Address - Street 1:8400 167TH AVE NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3932
Practice Address - Country:US
Practice Address - Phone:425-881-8400
Practice Address - Fax:425-881-3355
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003726363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health