Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | AP30007403 | WA |
N | 363LN0000X | Nurse Practitioner - Neonatal | AP30007403 | WA |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP30007403 | WA |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP30007403 | WA |
N | 363LP0200X | Nurse Practitioner - Pediatrics | RN122169 | AZ |
N | 363LP2300X | Nurse Practitioner - Primary Care | AP30007403 | WA |
NPI | 1225037831 |
---|---|
Provider Name | Elizabeth A Hadland |
First Address | Covington, WA 98042-4951 |
Second Address | Covington, WA 98042-4951 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2005 |
Last Update Date | 21/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P63645 | (02) |