Healthcare Provider Details

I. General information

NPI: 1528025160
Provider Name (Legal Business Name): JULANA HANSMEIER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 10/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 S 19TH ST STE 101
TACOMA WA
98405-2961
US

IV. Provider business mailing address

2201SOUTH 19TH STREET, STE 101
TACOMA WA
98405
US

V. Phone/Fax

Practice location:
  • Phone: 253-473-7636
  • Fax: 253-473-6715
Mailing address:
  • Phone: 253-473-7636
  • Fax: 253-473-6715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAP30000163
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: