Provider Demographics
NPI:1770998502
Name:SWEET, JULI MARIE (ARNP)
Entity type:Individual
Prefix:
First Name:JULI
Middle Name:MARIE
Last Name:SWEET
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 1:6016 45TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-1427
Mailing Address - Country:US
Mailing Address - Phone:206-369-8601
Mailing Address - Fax:
Practice Address - Street 1:10024 SE 240TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-5124
Practice Address - Country:US
Practice Address - Phone:253-859-2273
Practice Address - Fax:253-850-8894
Is Sole Proprietor?:No
Enumeration Date:2014-07-01
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60471340363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAP60471340OtherSTATE LICENSURE