Individual
AMY J HIESTAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 NICHOLLS ST, DAVENPORT, WA 99122-9729
(509) 725-7101
(509) 725-2112
Mailing address
10 NICHOLLS ST, DAVENPORT, WA 99122-9729
(509) 725-7101
(509) 725-2112
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30007639
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2122469
—
WA
05
—
9652546
—
WA
Enumeration date
04/03/2007
Last updated
06/16/2026
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