Healthcare Provider Details

I. General information

NPI: 1396602975
Provider Name (Legal Business Name): HANNAH KATE WOMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

12650 120TH AVE NE APT 321
KIRKLAND WA
98034-7509
US

V. Phone/Fax

Practice location:
  • Phone: 360-970-8831
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN61451429
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: