Provider Demographics
NPI:1124689237
Name:EMMONS, CHRISTI A (ARNP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTI
Middle Name:A
Last Name:EMMONS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:CHRISTI
Other - Middle Name:ANNA
Other - Last Name:EMMONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:12040 NE 128TH ST
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-3013
Mailing Address - Country:US
Mailing Address - Phone:425-899-1000
Mailing Address - Fax:
Practice Address - Street 1:14841 179TH AVE SE STE 210
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-1127
Practice Address - Country:US
Practice Address - Phone:360-217-1155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60919236363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily