Provider Demographics
NPI:1134742851
Name:YUDICH, OLGA O (ARNP)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:O
Last Name:YUDICH
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 1:24016 BOTHELL EVERETT HWY UNIT 100
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-9361
Mailing Address - Country:US
Mailing Address - Phone:425-529-6333
Mailing Address - Fax:
Practice Address - Street 1:24016 BOTHELL EVERETT HWY UNIT 100
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-9361
Practice Address - Country:US
Practice Address - Phone:425-529-6333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-28
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60640637163W00000X
WAAP61173534363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse