Provider Demographics
NPI:1407384100
Name:SMITH, FIONA LYNNE (ARNP)
Entity Type:Individual
Prefix:
First Name:FIONA
Middle Name:LYNNE
Last Name:SMITH
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 1:200 W MERCER ST STE 104
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-3958
Mailing Address - Country:US
Mailing Address - Phone:206-281-7163
Mailing Address - Fax:206-281-5088
Practice Address - Street 1:200 W MERCER ST STE 104
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-3958
Practice Address - Country:US
Practice Address - Phone:206-281-7163
Practice Address - Fax:206-281-5088
Is Sole Proprietor?:No
Enumeration Date:2017-05-25
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00156629163W00000X
WAAP61296774363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse