Individual
LIBERTY HANISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(910) 689-5950
Mailing address
4223 S MADELIA ST, SPOKANE, WA 99203-4322
(910) 589-5950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
243392
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
60894969
WA
Other
Enumeration date
06/01/2018
Last updated
10/04/2018
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