Provider Demographics
NPI:1750390332
Name:PRICE, BRET LYNN (ARNP)
Entity type:Individual
Prefix:
First Name:BRET
Middle Name:LYNN
Last Name:PRICE
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8903 KEY PENINSULA HWY N
Mailing Address - Street 2:
Mailing Address - City:LAKEBAY
Mailing Address - State:WA
Mailing Address - Zip Code:98349-9326
Mailing Address - Country:US
Mailing Address - Phone:253-884-3400
Mailing Address - Fax:253-884-3404
Practice Address - Street 1:8903 KEY PENINSULA HWY NW
Practice Address - Street 2:
Practice Address - City:LAKEBAY
Practice Address - State:WA
Practice Address - Zip Code:98349-9326
Practice Address - Country:US
Practice Address - Phone:253-884-3400
Practice Address - Fax:253-884-3404
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006026163W00000X, 363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8933344OtherCRIME VICTIMS
WA8933342OtherCRIME VICTIMS
WA8933346OtherCRIME VICTIMS
WA167393OtherL & I
WA8933343OtherCRIME VICTIMS
WA165981OtherL & I
WA167390OtherL & I
WA167391OtherL & I
WA167392OtherL & I
WA8935090OtherCRIME VICTIMS
WA153125OtherL & I
WA9631763Medicaid
WA970021270OtherRAILROAD
AB24130Medicare ID - Type Unspecified
WAGAB35199Medicare PIN
WA153125OtherL & I
WA167390OtherL & I
WA9631763Medicaid
WA167392OtherL & I
WAGAB35195Medicare PIN