Healthcare Provider Details

I. General information

NPI: 1336531870
Provider Name (Legal Business Name): FRANCES HULL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2015
Last Update Date: 01/17/2020
Certification Date: 01/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 N 39TH AVE
YAKIMA WA
98902-6388
US

IV. Provider business mailing address

808 N 39TH AVE
YAKIMA WA
98902-6388
US

V. Phone/Fax

Practice location:
  • Phone: 509-574-3400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60522996
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61029812
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: