Provider Demographics
NPI:1982374633
Name:ARINO, AMY LEANNE (DNP, ARNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LEANNE
Last Name:ARINO
Suffix:
Gender:F
Credentials:DNP, ARNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35002 PACIFIC HWY S STE A105
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8366
Mailing Address - Country:US
Mailing Address - Phone:253-264-0035
Mailing Address - Fax:
Practice Address - Street 1:35002 PACIFIC HWY S STE A105
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8366
Practice Address - Country:US
Practice Address - Phone:253-264-0035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61219187363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2202941Medicaid