Provider Demographics
NPI:1417484817
Name:LOCKER, YONGJIE HOU (ARNP)
Entity Type:Individual
Prefix:
First Name:YONGJIE
Middle Name:HOU
Last Name:LOCKER
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:PO BOX 5127
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98206-5127
Mailing Address - Country:US
Mailing Address - Phone:425-595-3830
Mailing Address - Fax:425-595-3831
Practice Address - Street 1:17000 140TH AVE NE UNIT 101
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-6928
Practice Address - Country:US
Practice Address - Phone:425-595-3805
Practice Address - Fax:425-595-3806
Is Sole Proprietor?:No
Enumeration Date:2017-05-16
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60755096363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily