Healthcare Provider Details

I. General information

NPI: 1326022450
Provider Name (Legal Business Name): JAMES HUNZIKER ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13034 SW 220TH ST
VASHON WA
98070-6302
US

IV. Provider business mailing address

13034 SW 220TH ST
VASHON WA
98070-6302
US

V. Phone/Fax

Practice location:
  • Phone: 206-228-2101
  • Fax: 206-463-2832
Mailing address:
  • Phone: 206-228-2101
  • Fax: 206-463-2832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30006006
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: