Provider Demographics
NPI:1225180045
Name:SCHUNEMAN, NANCY E (ARNP)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:E
Last Name:SCHUNEMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 34584
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-1584
Mailing Address - Country:US
Mailing Address - Phone:509-241-7349
Mailing Address - Fax:509-241-7628
Practice Address - Street 1:1708 YAKIMA AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-5307
Practice Address - Country:US
Practice Address - Phone:253-596-3311
Practice Address - Fax:253-596-3753
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00105877363L00000X
WAAP30002346363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9620899Medicaid
WAS48234Medicare UPIN
WAGAB02833Medicare PIN
WAGAB29746Medicare PIN
WAGAB29744Medicare PIN
WAGAB29743Medicare PIN
WAGAB29745Medicare PIN
WA9620899Medicaid