MEDICARE: EILEEN T HUHMANN ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	AP30003593	WA

General Provider Information

NPI Number	:	1154306504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EILEEN T HUHMANN ARNP

Provider Business Mailing Address
First Line	:	7724 132ND STREET CT E
Second Line	:
City	:	PUYALLUP
State	:	WA
Zip	:	98373-5427
Country	:	US
Telephone Number	:	253-531-9437
Fax Number	:

Provider Business Practice Location Address
First Line	:	690 A ST
Second Line	:	MCCORD AFB
City	:	TACOMA
State	:	WA
Zip	:	98438-1303
Country	:	US
Telephone Number	:	253-982-6537
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	07/08/2007

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