Healthcare Provider Details

I. General information

NPI: 1811516362
Provider Name (Legal Business Name): HANNAH HEINONEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2020
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 S HORTON ST
SEATTLE WA
98144-6917
US

IV. Provider business mailing address

212 23RD AVE E UNIT B1
SEATTLE WA
98112-5531
US

V. Phone/Fax

Practice location:
  • Phone: 206-252-7407
  • Fax:
Mailing address:
  • Phone: 425-765-0415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61343726
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN60972679
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: