DR. KOSUKE NIITSU PHD ARNP PMHNP-BC NPI 1073059259

NPI Information

NPI: 1073059259
Provider Name: DR. KOSUKE NIITSU, PHD, ARNP, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
17927 113TH AVE NE
BOTHELL, WA
ZIP 98011
Phone: (425) 352-3183
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DR. Kosuke Niitsu, PHD, ARNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Bothell, WA. DR. Kosuke Niitsu, PHD, ARNP, PMHNP-BC NPI is 1073059259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17927 113TH AVE NE
BOTHELL, WA
ZIP 98011-909
Phone: (425) 352-3183
Fax: (425) 352-3581

The enumeration date for this NPI number is 1/12/2017 and was last updated on 10/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	C-APN.0000823-C-NP	COLORADO	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	G145896	IOWA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	111689	NEBRASKA	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP60989975	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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