Provider Demographics
NPI:1619949989
Name:KRIENKE, NADYNE D (ARNP)
Entity Type:Individual
Prefix:
First Name:NADYNE
Middle Name:D
Last Name:KRIENKE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:NADYNE
Other - Middle Name:D
Other - Last Name:KRIENKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APN
Mailing Address - Street 1:14327 27TH DR SE
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-5739
Mailing Address - Country:US
Mailing Address - Phone:425-337-9575
Mailing Address - Fax:
Practice Address - Street 1:14327 27TH DR SE
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-5739
Practice Address - Country:US
Practice Address - Phone:425-337-9575
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005532363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily