Provider Demographics
NPI:1033893441
Name:PASSI, HECTOR ANGELO (RN)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:ANGELO
Last Name:PASSI
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2877 DANBURY LN SW APT 1522
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98512-7866
Mailing Address - Country:US
Mailing Address - Phone:562-413-8623
Mailing Address - Fax:
Practice Address - Street 1:2877 DANBURY LN SW APT 1522
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98512-7866
Practice Address - Country:US
Practice Address - Phone:562-413-8623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60708605163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse