Provider Demographics
NPI:1861737389
Name:ATABEYGI, CIARA NICOLE (ARNP)
Entity type:Individual
Prefix:
First Name:CIARA
Middle Name:NICOLE
Last Name:ATABEYGI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CIARA
Other - Middle Name:NICOLE
Other - Last Name:WESEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:150 DENNIS ST SW
Mailing Address - Street 2:STE A
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98501-5459
Mailing Address - Country:US
Mailing Address - Phone:360-754-6367
Mailing Address - Fax:360-754-6429
Practice Address - Street 1:150 DENNIS ST SW STE A
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98501-5486
Practice Address - Country:US
Practice Address - Phone:360-754-6367
Practice Address - Fax:360-754-6429
Is Sole Proprietor?:No
Enumeration Date:2012-12-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60315932363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAP60315932OtherSTATE LICENSE
WAMW2804246OtherDEA