Provider Demographics
NPI:1669143665
Name:CHOE, NAKYUNG (ARNP)
Entity type:Individual
Prefix:
First Name:NAKYUNG
Middle Name:
Last Name:CHOE
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:CHOE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9311 SE 36TH ST STE 120
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-3741
Mailing Address - Country:US
Mailing Address - Phone:310-780-8527
Mailing Address - Fax:
Practice Address - Street 1:9311 SE 36TH ST STE 120
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-3741
Practice Address - Country:US
Practice Address - Phone:310-780-8527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-21
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61208165163WP0808X, 363LP0808X
WAAP61208165363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA61208165OtherPMHP