Provider Demographics
NPI:1811586639
Name:ARKHIPCHUK, SVITLANA (ARNP)
Entity type:Individual
Prefix:
First Name:SVITLANA
Middle Name:
Last Name:ARKHIPCHUK
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 1:1600 SW DASH POINT RD # 2016
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-4573
Mailing Address - Country:US
Mailing Address - Phone:253-349-0899
Mailing Address - Fax:
Practice Address - Street 1:1600 SW DASH POINT RD # 2016
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-4573
Practice Address - Country:US
Practice Address - Phone:253-349-0899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-15
Last Update Date:2024-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61126685363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily