Organization
EVA FAYE DEE HIATT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVA FAYE DEE HIATT ARNP (OWNER PRACTIONER)
(253) 631-2380
Entity
Organization
Contact information
Practice address
4957 LAKEMONT BLVD, SUITE C-4 BOX #202, BELLEVUE, WA 98006
(425) 746-7068
(425) 649-2057
Mailing address
16720 SE 271ST ST, SUITE 202, COVINGTON, WA 98042-7342
(253) 631-2380
(425) 649-2057
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30004647
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001133372
MHN
WA
01
—
00076444478
AETNA
WA
01
—
156388100000
PREMERA
WA
01
—
9472HI
REGENCE
WA
01
—
A944372
UPS
WA
Enumeration date
03/01/2007
Last updated
05/04/2011
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