Provider Demographics
NPI:1609329721
Name:DELSOL-MCINTIRE, ERIN IRENE (ARNP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:IRENE
Last Name:DELSOL-MCINTIRE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:DELSOL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:5608 17TH AVE NW STE 1566
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-5232
Mailing Address - Country:US
Mailing Address - Phone:206-594-4837
Mailing Address - Fax:206-238-9151
Practice Address - Street 1:15206 10TH AVE SW UNIT D
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-2107
Practice Address - Country:US
Practice Address - Phone:206-594-4837
Practice Address - Fax:206-238-9151
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-25
Last Update Date:2024-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60991314363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health