Provider Demographics
NPI:1952497356
Name:ARAMBURU, PATTI J (ARNP)
Entity Type:Individual
Prefix:
First Name:PATTI
Middle Name:J
Last Name:ARAMBURU
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 1:1717 S J ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405
Mailing Address - Country:US
Mailing Address - Phone:253-426-4972
Mailing Address - Fax:253-426-4725
Practice Address - Street 1:1717 S J ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405
Practice Address - Country:US
Practice Address - Phone:253-426-4972
Practice Address - Fax:253-426-4725
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30004563363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0291803OtherSTATE L&I
WA0291804OtherSTATE L&I
WA9623356Medicaid
WA0208357OtherSTATE L&I
WA8941320OtherSTATE CRIME VICTIMS
WAG8907298Medicare PIN
WA0291803OtherSTATE L&I
WA8859820Medicare ID - Type Unspecified
WAG8859820Medicare PIN