Individual
JULIE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5210 CORPORATE CENTER CT SE STE C, LACEY, WA 98503-5952
(360) 999-6691
Mailing address
7135 CAVALIER LOOP SW, TUMWATER, WA 98512-7941
(360) 999-6691
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61175193
WA
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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