Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | PA10001215 | WA |
NPI | 1225080690 |
---|---|
Provider Name | Ms. Rebecca L Hale |
First Address | Bellingham, WA 98225 |
Second Address | Bellingham, WA 98225 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6819HA | REGENCE (01) | WA |
8941293 | CRIME VICTIMS (01) | WA |
R88002 | (02) | WA |