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NPI Code Detail

MEDICARE: MARGARET ANNE THAWLEY-HURD NURSE PRACTITIONER

MEDICARE:   MARGARET ANNE THAWLEY-HURD  NURSE PRACTITIONER
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
1363LF0000XFamily Nurse Practitioner025804-AP30001255WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2025801-RN 00051119OTHERWAREGISTERED NURSE

General Provider Information

NPI Number : 1568481505
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET ANNE THAWLEY-HURD NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 902 E MAPLE ST
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1634
Country : US
Telephone Number : 360-435-9338
Fax Number : 360-435-2266
Provider Business Practice Location Address
First Line : 902 E MAPLE ST
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1634
Country : US
Telephone Number : 360-435-9338
Fax Number : 360-435-2266
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 03/07/2023

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