MEDICARE: JAMES ANDREW HRNCIR FNP-C

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	207Q00000X	Family Medicine Physician	AP61422506	WA

General Provider Information

NPI Number	:	1194420711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES ANDREW HRNCIR FNP-C

Provider Business Mailing Address
First Line	:	5616 DONNELLY DR SE
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98501-5022
Country	:	US
Telephone Number	:	918-804-2056
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 HARRISON AVE NW
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-5084
Country	:	US
Telephone Number	:	360-704-2362
Fax Number	:

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

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	04/03/2023

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