Provider Demographics
NPI:1003247214
Name:HUMMEL WOMEN'S HEALTH
Entity Type:Organization
Organization Name:HUMMEL WOMEN'S HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-670-3710
Mailing Address - Street 1:555 DAYTON ST STE A3
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-3647
Mailing Address - Country:US
Mailing Address - Phone:425-670-3710
Mailing Address - Fax:425-670-3711
Practice Address - Street 1:555 DAYTON ST STE A3
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-3647
Practice Address - Country:US
Practice Address - Phone:425-670-3710
Practice Address - Fax:425-670-3711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-13
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM2500X
WAAP30003284363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty