Provider Demographics
NPI:1154964120
Name:NAGAI, STEPHANIE LEA (DNP, ARNP, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:LEA
Last Name:NAGAI
Suffix:
Gender:
Credentials:DNP, ARNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 S GRADY WAY STE 625
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-3281
Mailing Address - Country:US
Mailing Address - Phone:425-233-0431
Mailing Address - Fax:
Practice Address - Street 1:15 S GRADY WAY STE 249
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-3209
Practice Address - Country:US
Practice Address - Phone:425-233-0431
Practice Address - Fax:425-329-8087
Is Sole Proprietor?:No
Enumeration Date:2019-10-23
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61006356363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health