Individual
PHYLLIS TENENBAUM HANIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1603 COOPER POINT RD NW, OLYMPIA, WA 98502-8325
(360) 451-1841
(360) 754-0666
Mailing address
1603 COOPER POINT RD NW, OLYMPIA, WA 98502-8325
(360) 451-1841
(360) 754-0666
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30002431
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9607417
—
WA
Enumeration date
03/08/2007
Last updated
03/27/2017
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