Healthcare Provider Details

I. General information

NPI: 1649515610
Provider Name (Legal Business Name): HANNAH EPSTEIN MS, CN, CCN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2012
Last Update Date: 12/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 ENSIGN RD NE SUITE N
OLYMPIA WA
98506
US

IV. Provider business mailing address

2002 17TH AVE NE
ISSAQUAH WA
98029-7373
US

V. Phone/Fax

Practice location:
  • Phone: 360-320-6772
  • Fax: 425-526-5659
Mailing address:
  • Phone: 360-320-6772
  • Fax: 425-526-5659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberNUTR.NU.60316605
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: