Provider Demographics
NPI:1528170776
Name:ARMSTRONG, NANCY E (ARNP)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:E
Last Name:ARMSTRONG
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 1:1100 EASTSIDE ST SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-7304
Mailing Address - Country:US
Mailing Address - Phone:360-943-5127
Mailing Address - Fax:360-754-2516
Practice Address - Street 1:1100 EASTSIDE ST SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-7304
Practice Address - Country:US
Practice Address - Phone:360-943-5127
Practice Address - Fax:360-754-2516
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30004196363LA2200X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAR5426OtherREGENCE BLUE SHIELD
WA9620071Medicaid
WA9620071Medicaid