Healthcare Provider Details

I. General information

NPI: 1033824784
Provider Name (Legal Business Name): HANNAH BANCROFT HUG CRNA, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2023
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 SE BISHOP BLVD
PULLMAN WA
99163-5512
US

IV. Provider business mailing address

835 SE BISHOP BLVD
PULLMAN WA
99163-5512
US

V. Phone/Fax

Practice location:
  • Phone: 509-332-2541
  • Fax: 509-336-7389
Mailing address:
  • Phone: 509-332-2541
  • Fax: 509-336-7389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number10021026
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAP61489917
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number74985
License Number StateID
# 4
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN-240809
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: