Provider Demographics
NPI:1457372518
Name:PRATT, DIANNE MARIE (ARNP)
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:MARIE
Last Name:PRATT
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 1:6534 4TH AVE NE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-6440
Mailing Address - Country:US
Mailing Address - Phone:206-523-0587
Mailing Address - Fax:206-523-0590
Practice Address - Street 1:6534 4TH AVE NE
Practice Address - Street 2:SUITE 103
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-6440
Practice Address - Country:US
Practice Address - Phone:206-523-0587
Practice Address - Fax:206-523-0590
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00078893163WP0809X
WAAP30003327363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Not Answered363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health