MEDICARE: MR. JAMES HUNZIKER 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	363LF0000X	Family Nurse Practitioner	AP30006006	WA

General Provider Information

NPI Number	:	1326022450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES HUNZIKER ARNP

Provider Business Mailing Address
First Line	:	13034 SW 220TH ST
Second Line	:
City	:	VASHON
State	:	WA
Zip	:	98070-6302
Country	:	US
Telephone Number	:	206-228-2101
Fax Number	:	206-463-2832

Provider Business Practice Location Address
First Line	:	13034 SW 220TH ST
Second Line	:
City	:	VASHON
State	:	WA
Zip	:	98070-6302
Country	:	US
Telephone Number	:	206-228-2101
Fax Number	:	206-463-2832

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

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	07/08/2007

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