Provider Demographics
NPI:1659322402
Name:HUSTON, AARON (ARNP)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:HUSTON
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14804 GOODRICH DR NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98329-8777
Mailing Address - Country:US
Mailing Address - Phone:253-459-5728
Mailing Address - Fax:
Practice Address - Street 1:319 5TH ST SW
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-5828
Practice Address - Country:US
Practice Address - Phone:253-848-0351
Practice Address - Fax:253-841-1397
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006772163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAP30006772OtherARNP LICENSE
WAAP30006772OtherARNP LICENSE