Healthcare Provider Details

I. General information

NPI: 1124947759
Provider Name (Legal Business Name): EMILY HOELSCHER RN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 SLEATER KINNEY RD SE
LACEY WA
98503-1147
US

IV. Provider business mailing address

470 CARPENTER RD SE APT 201
LACEY WA
98503-0320
US

V. Phone/Fax

Practice location:
  • Phone: 360-413-8413
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.RN.60460276.MSL
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: