Individual
MR. MARK DAVID HACHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2235
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-1957
(253) 968-2235
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00125030
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30004693
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044665
CRNA CERTIFICATION, AANA
—
Enumeration date
03/07/2006
Last updated
07/10/2019
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