Provider Demographics
NPI:1922421916
Name:MORI, YUKI (ARNP)
Entity Type:Individual
Prefix:MS
First Name:YUKI
Middle Name:
Last Name:MORI
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 1:4115 ROOSEVELT WAY NE APT 502
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-6456
Mailing Address - Country:US
Mailing Address - Phone:801-680-3079
Mailing Address - Fax:
Practice Address - Street 1:3928 PACIFIC AVE SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-1109
Practice Address - Country:US
Practice Address - Phone:360-455-1350
Practice Address - Fax:360-455-5354
Is Sole Proprietor?:No
Enumeration Date:2014-01-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60429656363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner