Individual provider · Type 1 NPI

Wendy Mironov, ARNP

Nurse Practitioner · Renton, WA

NPI number 1184199242 Active

Practice location

16200 116th Ave SE
Renton, WA 98058-5200

Call (425) 400-1899 Map

Fax (425) 663-8000

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908

Other practice locations

1112 S Cushman Ave, Tacoma, WA 98405-3631 · (253) 593-2144
14434 Ambaum Blvd SW Ste 5, Burien, WA 98166-1438 · (206) 812-6140
8720 14th Ave S, Seattle, WA 98108-4807 · (206) 762-3730

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	AP60896870 (WA)
Registered Nurse	163W00000X	RN60867522 (WA)
Family Nurse Practitioner	363LF0000X	AP60896870 (WA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1184199242

Wendy Mironov, ARNP's National Provider Identifier is 1184199242, issued on Oct 4, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Renton, WA. The record was last updated on Feb 3, 2025.