Healthcare Provider Details

I. General information

NPI: 1770299455
Provider Name (Legal Business Name): HEATHER TRAMEL WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2023
Last Update Date: 02/09/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LILLY RD NE STE B2
OLYMPIA WA
98506-5080
US

IV. Provider business mailing address

1521 THURSTON AVE NE
OLYMPIA WA
98506-4558
US

V. Phone/Fax

Practice location:
  • Phone: 360-754-9409
  • Fax:
Mailing address:
  • Phone: 360-556-1438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60142964
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP61406498
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: