Provider Demographics
NPI:1700995487
Name:STAIGER, PATRICE (ARNP)
Entity Type:Individual
Prefix:
First Name:PATRICE
Middle Name:
Last Name:STAIGER
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:PO BOX 354410
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-4410
Mailing Address - Country:US
Mailing Address - Phone:206-616-2495
Mailing Address - Fax:206-616-4683
Practice Address - Street 1:4060 E STEVENS WY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195
Practice Address - Country:US
Practice Address - Phone:206-616-2495
Practice Address - Fax:206-616-4683
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00070795163W00000X
WAAP30001342363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9604729Medicaid
WA9604729Medicaid
WA9604729Medicaid