Provider Demographics
NPI:1104496132
Name:DZIKOWSKI, ANDREW (ND, LAC, ARNP)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:DZIKOWSKI
Suffix:
Gender:M
Credentials:ND, LAC, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 130TH ST SW APT H102
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-7383
Mailing Address - Country:US
Mailing Address - Phone:425-224-7188
Mailing Address - Fax:949-250-6911
Practice Address - Street 1:5005 200TH ST SW STE B
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6679
Practice Address - Country:US
Practice Address - Phone:425-224-5302
Practice Address - Fax:425-678-0434
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-01
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60621233163W00000X
WAAC61209772171100000X
WANT61195829175F00000X, 175F00000X, 175F00000X
WAAP61571216363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No163W00000XNursing Service ProvidersRegistered Nurse
No171100000XOther Service ProvidersAcupuncturist
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health