Individual
NANCY HACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 13TH AVE SE, OLYMPIA, WA 98501-2518
(360) 584-2620
Mailing address
1821 13TH AVE SE, OLYMPIA, WA 98501-2518
(360) 584-2620
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00095865
WA
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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