Healthcare Provider Details

I. General information

NPI: 1518985787
Provider Name (Legal Business Name): DALIA HANNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE MAIL STOP B6553
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

6703 110TH AVE NE #C4
KIRKLAND WA
98033
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-4427
  • Fax: 206-987-3946
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN00152843
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: