Healthcare Provider Details

I. General information

NPI: 1144932393
Provider Name (Legal Business Name): NANCY HANS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2022
Last Update Date: 12/20/2022
Certification Date: 12/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14214 29TH AVE S
SEATAC WA
98168-3856
US

IV. Provider business mailing address

3320 AUBURN WAY N
AUBURN WA
98002-1805
US

V. Phone/Fax

Practice location:
  • Phone: 206-475-7132
  • Fax:
Mailing address:
  • Phone: 253-999-5750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number61389251
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: