Provider Demographics
NPI:1023841558
Name:WONG SICK HONG, CINDY KIM-PHAN (DNP, ARNP, FNP-C)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:KIM-PHAN
Last Name:WONG SICK HONG
Suffix:
Gender:F
Credentials:DNP, 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 1:1755 14TH AVE S UNIT B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-4201
Mailing Address - Country:US
Mailing Address - Phone:918-616-3132
Mailing Address - Fax:
Practice Address - Street 1:1755 14TH AVE S UNIT B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-4201
Practice Address - Country:US
Practice Address - Phone:918-616-3132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-21
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61600161363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily