Individual
MS. CONNIE MARIE HIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
MADIGAN HEALTHCARE SYSTEM, 9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-1290
(866) 335-2769
Mailing address
MADIGAN HEALTHCARE SYSTEM, 9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-1290
(866) 335-2769
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60120025
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60120158
WA
Other
Enumeration date
11/30/2005
Last updated
01/28/2011
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