Provider Demographics
NPI:1336913888
Name:ARKHIPCHUK, ANDREY (RN, BSN)
Entity Type:Individual
Prefix:
First Name:ANDREY
Middle Name:
Last Name:ARKHIPCHUK
Suffix:
Gender:M
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3404 97TH AVE E
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98371-2041
Mailing Address - Country:US
Mailing Address - Phone:206-428-8940
Mailing Address - Fax:
Practice Address - Street 1:26812 40TH AVE S BLDG A
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-7229
Practice Address - Country:US
Practice Address - Phone:253-945-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60931740163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool