Healthcare Provider Details

I. General information

NPI: 1588325658
Provider Name (Legal Business Name): ROSEMARY EILEEN HASH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2021
Last Update Date: 12/31/2021
Certification Date: 12/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 S GRAND AVE
PULLMAN WA
99163-4906
US

IV. Provider business mailing address

30 HUNTER LN
CAMP HILL PA
17011-2499
US

V. Phone/Fax

Practice location:
  • Phone: 509-334-7222
  • Fax:
Mailing address:
  • Phone: 800-748-3243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN61207189
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: