Healthcare Provider Details

I. General information

NPI: 1225350010
Provider Name (Legal Business Name): ERIN R HEPNER A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2010
Last Update Date: 03/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 S 40TH AVE SUITE C
YAKIMA WA
98908-3800
US

IV. Provider business mailing address

1020 S 40TH AVE SUITE C
YAKIMA WA
98908-3800
US

V. Phone/Fax

Practice location:
  • Phone: 509-966-3969
  • Fax: 509-966-3979
Mailing address:
  • Phone: 509-966-3969
  • Fax: 509-966-3979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60101193
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: