Healthcare Provider Details

I. General information

NPI: 1609242031
Provider Name (Legal Business Name): HANNAH ROSE WURZ ARNP/CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2015
Last Update Date: 06/23/2021
Certification Date: 06/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

819 N MILLER ST STE 1-B
WENATCHEE WA
98801-6604
US

IV. Provider business mailing address

600 ORONDO AVE STE 1
WENATCHEE WA
98801-2800
US

V. Phone/Fax

Practice location:
  • Phone: 509-888-1924
  • Fax: 509-888-2238
Mailing address:
  • Phone: 509-662-6000
  • Fax: 509-664-4590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60600560
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP60600560
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: