Individual
AUDREY M. YAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, L.M.P., IBCLC
Contact information
Practice address
24604 104TH AVE SE # 203, KENT, WA 98030-4965
(253) 859-2373
(253) 856-8754
Mailing address
9620 S 203RD ST, KENT, WA 98031-1463
(253) 854-1823
(253) 854-1823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00083503
WA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L37947
VA
225700000X
Massage Therapist
MA00005757
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31651
L&I PROVIDE NUMBER
WA
Enumeration date
11/28/2006
Last updated
08/17/2025
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