Healthcare Provider Details

I. General information

NPI: 1154306504
Provider Name (Legal Business Name): EILEEN T HUHMANN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/08/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 A ST MCCORD AFB
TACOMA WA
98438-1303
US

IV. Provider business mailing address

7724 132ND STREET CT E
PUYALLUP WA
98373-5427
US

V. Phone/Fax

Practice location:
  • Phone: 253-982-6537
  • Fax:
Mailing address:
  • Phone: 253-531-9437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP30003593
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: