Provider Demographics
NPI:1730588096
Name:DRUCK, AARON MARCUS IVAN (FNP-C)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:MARCUS IVAN
Last Name:DRUCK
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3845 BEACH DR SW APT 1
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-3521
Mailing Address - Country:US
Mailing Address - Phone:720-393-9032
Mailing Address - Fax:
Practice Address - Street 1:3845 BEACH DR SW APT 1
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-3521
Practice Address - Country:US
Practice Address - Phone:720-393-9032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-22
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60474380363LF0000X
NMCNP-02518363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily