GRAZYNA ANNA PAK NPI 1063108363

NPI Information

  • NPI: 1063108363
  • Provider Name: GRAZYNA ANNA PAK
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14535 NE BEL RED RD STE 200
    BELLEVUE, WA
    ZIP 98007
  • Phone: (425) 955-1891

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NPI Details

Grazyna Anna Pak is a psychiatric/mental health nurse practitioner in Bellevue, WA. Grazyna Anna Pak NPI is 1063108363. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14535 NE BEL RED RD STE 200
BELLEVUE, WA
ZIP 98007-907
Phone: (425) 955-1891
Fax: (425) 955-1891

The NPI 1063108363 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/11/2023 and was last updated on 3/5/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAP614188806WASHINGTONYes

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: 11/21/2025

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