Provider Demographics
NPI:1447447388
Name:AUSTIN, JOAN DIANE (ARNP, R N)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:DIANE
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:ARNP, R N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4710 43RD AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-1803
Mailing Address - Country:US
Mailing Address - Phone:206-721-5661
Mailing Address - Fax:206-721-5661
Practice Address - Street 1:1325 4TH AVE
Practice Address - Street 2:SUITE 1240
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2573
Practice Address - Country:US
Practice Address - Phone:206-625-0202
Practice Address - Fax:206-625-0202
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30002438364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health