Provider Demographics
NPI:1770015158
Name:BERLIN, ISAAC MENDYL (MSN, ARNP, FNP-C)
Entity Type:Individual
Prefix:MR
First Name:ISAAC
Middle Name:MENDYL
Last Name:BERLIN
Suffix:
Gender:M
Credentials:MSN, ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 BROADWAY
Mailing Address - Street 2:#203
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122
Mailing Address - Country:US
Mailing Address - Phone:408-673-1415
Mailing Address - Fax:
Practice Address - Street 1:504 BROADWAY
Practice Address - Street 2:#203
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5394
Practice Address - Country:US
Practice Address - Phone:408-673-1415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60669035163W00000X
WAAP60781220363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse