Healthcare Provider Details

I. General information

NPI: 1366970675
Provider Name (Legal Business Name): ELIZABETH HERTZ-WAHL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2017
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1565 S PEARL ST
SEATTLE WA
98108-1961
US

IV. Provider business mailing address

1565 S PEARL ST
SEATTLE WA
98108-1961
US

V. Phone/Fax

Practice location:
  • Phone: 206-849-5152
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60113178
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: