Healthcare Provider Details

I. General information

NPI: 1649609553
Provider Name (Legal Business Name): JULIE HOBSON R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2013
Last Update Date: 11/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12108 24TH PL NE
LAKE STEVENS WA
98258-9597
US

IV. Provider business mailing address

12108 24TH PL NE
LAKE STEVENS WA
98258-9597
US

V. Phone/Fax

Practice location:
  • Phone: 425-346-1137
  • Fax: 425-249-2155
Mailing address:
  • Phone: 425-346-1137
  • Fax: 425-249-2155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00137196
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: