Individual provider · Type 1 NPI

Kandice Lynnette-Zophia Crown-Payne, ARNP

Nurse Practitioner · Mill Creek, WA

NPI number 1336947639 Active

Practice location

15418 Main St Unit 200
Mill Creek, WA 98012-9030

Mailing address

7600 Evergreen Way
Everett, WA 98203-6421

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP61671353 (WA)
Emergency Registered Nurse 163WE0003XRN60864523 (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 1336947639

Kandice Lynnette-Zophia Crown-Payne, ARNP's National Provider Identifier is 1336947639, issued on Mar 4, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mill Creek, WA. The record was last updated on Jul 23, 2026.