Healthcare Provider Details
I. General information
NPI: 1568098770
Provider Name (Legal Business Name): HANA POWERS BSN, RN, CPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/19/2020
Last Update Date: 03/19/2020
Certification Date: 03/19/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4800 SAND POINT WAY NE
SEATTLE WA
98105-3901
US
IV. Provider business mailing address
4800 SAND POINT WAY NE
SEATTLE WA
98105-3901
US
V. Phone/Fax
- Phone: 206-987-2000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WP0200X |
| Taxonomy | Pediatric Registered Nurse |
| License Number | RN60793740 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: